Individual provider · Type 1 NPI
Mark Edward Wilson, DDS MS
Pediatric Dentistry · North Little Rock, AR
NPI number
1912924424
Active
Practice location
4605 Fairway Ave
North Little Rock, AR 72116
Fax (501) 753-0408
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 2817 (AR) |
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.
2 other providers at this address
About NPI 1912924424
Mark Edward Wilson, DDS MS's National Provider Identifier is 1912924424, issued on Jul 17, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in North Little Rock, AR. The record was last updated on Jul 8, 2007.