Individual provider · Type 1 NPI

Stephanie M. Wilson, DDS

Pediatric Dentistry · Kansas City, MO

NPI number 1780098129 Active

Practice location

8291 N Booth Ave
Kansas City, MO 64158-7202

Mailing address

9018 N Skyview Ave
Kansas City, MO 64154-8501

Other practice locations

  • 9018 N Skyview Ave, Kansas City, MO 64154 · (816) 741-5113

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X61506 (KS)
Dentist 122300000X2014017372 (MO)
Pediatric Dentistry Primary 1223P0221X2014017372 (MO)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

3 other providers at this address

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About NPI 1780098129

Stephanie M. Wilson, DDS's National Provider Identifier is 1780098129, issued on Jun 13, 2014. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Kansas City, MO. The record was last updated on Jul 30, 2019.