Organization · Type 2 NPI

Clarence J Wilson JR DDS Inc

General Practice Dentistry · Coruthersville, MO

NPI number 1780760058 Active

Practice location

109 E 5th St
Coruthersville, MO 63830

Fax (573) 333-0055

Mailing address

PO Box 937, 109 E 5th St
Caruthersville, MO 63830

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X13167 (MO)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

5 other providers at this address

About NPI 1780760058

Clarence J Wilson JR DDS Inc's National Provider Identifier is 1780760058, issued on Oct 31, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Coruthersville, MO. The record was last updated on Aug 22, 2020.