Clarence J Wilson Jr Dds Inc in Caruthersville - General Practice
Clarence J Wilson Jr Dds Inc - NPI 1780760058
Clarence J Wilson Jr Dds Inc is a General Practice in Caruthersville, Missouri. Clarence J Wilson Jr Dds Inc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Clarence J Wilson Jr Dds Inc is 1780760058. The last update date is 2020-08-22.
Clarence J Wilson Jr Dds Inc's current location address is Po Box 937, Caruthersville, Missouri. You can contact this provider via phone number 5733331550 and fax number 5733330055. The mailing address for Clarence J Wilson Jr Dds Inc is Po Box 937, Caruthersville, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clarence J Wilson Jr Dds Inc |
|---|---|
| Address | Po Box 937, Caruthersville, Missouri |
| Phone Number | 5733331550 |
| Fax Number | 5733330055 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PRES |
|---|---|
| Authorized Official Name | Wilson James Clarence |
| Credentials | DDS |
| Telephone Number | 5733331550 |
NPI Number Detail
| NPI Number | 1780760058 |
|---|---|
| Provider Enumeration Date | 2006-10-31 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 937 |
|---|---|
| City | Caruthersville |
| State | Missouri (MO) |
| Post Code | 63830 |
| Phone Number | 5733331550 |
| Fax Number | 5733330055 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 13167 |
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Definition: 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. |
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What is the unique identification code assigned to Clarence J Wilson Jr Dds Inc by the Centers for Medicare & Medicaid Services?
The Clarence J Wilson Jr Dds Inc has been issued the NPI (National Provider Identifier) 1780760058. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Clarence J Wilson Jr Dds Inc is geographically located?
The Clarence J Wilson Jr Dds Inc is physically situated at the following location: Po Box 937, Caruthersville, MO, 63830.
What is the Clarence J Wilson Jr Dds Inc's area of specialization and corresponding taxonomy classification?
The Clarence J Wilson Jr Dds Inc's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did Clarence J Wilson Jr Dds Inc receive its 1780760058 assignment from the Centers for Medicare & Medicaid Services?
The Clarence J Wilson Jr Dds Inc was assigned its 1780760058 on 2006-10-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Clarence J Wilson Jr Dds Inc most recently updated or revised?
The information pertaining to Clarence J Wilson Jr Dds Inc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.