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
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 13167 (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
- Southeast Missouri Health NetworkFederally Qualified Health Center (FQHC) Caruthersville, MO NPI 1053700435
- Adeline Hubbard, DDSDentist Caruthersville, MO NPI 1265359228
- Amberly D. Pritchard, LPC, NCCCounselor Caruthersville, MO NPI 1225445653
- Rebecca Vanessa Young, FNPFamily Nurse Practitioner Caruthersville, MO NPI 1457785123
- Summer Alexander, NPFamily Nurse Practitioner Caruthersville, MO NPI 1740728187
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.