Individual provider · Type 1 NPI
Bruce T. Wilson, DDS
General Practice Dentistry · Manila, AR
NPI number
1962561290
Active
Practice location
322 Hwy 18
Manila, AR 72442
Fax (870) 561-4037
Mailing address
PO Box 1345, 322 Hwy 18
Manila, AR 72442-1345
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 3179 (AR) |
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.
About NPI 1962561290
Bruce T. Wilson, DDS's National Provider Identifier is 1962561290, issued on Dec 6, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Manila, AR. The record was last updated on Jul 8, 2007.