Brett Michael Wilson in Joplin - Pediatric Dentistry
Brett Michael Wilson - NPI 1699759175
Brett Michael Wilson is a Pediatric Dentistry in Joplin, Missouri. Brett Michael Wilson practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Brett Michael Wilson is 1699759175. The last update date is 2014-01-08.
Brett Michael Wilson's current location address is 5227 S Main St, Joplin, Missouri. You can contact this provider via phone number 4176220004 and fax number 4175537998. The mailing address for Brett Michael Wilson is 5227 S Main St, Joplin, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brett Michael Wilson |
|---|---|
| Address | 5227 S Main St, Joplin, Missouri |
| Phone Number | 4176220004 |
| Fax Number | 4175537998 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1699759175 |
|---|---|
| Provider Enumeration Date | 2005-11-30 |
| Last Updated Date | 2014-01-08 |
Provider Mailing Address Detail
| Address | 5227 S Main St |
|---|---|
| City | Joplin |
| State | Missouri (MO) |
| Post Code | 648044916 |
| Phone Number | 4176220004 |
| Fax Number | 4175537998 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 2005015029 |
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Definition: 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. |
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Post Comment/ Review Below
What is the Brett Michael Wilson's unique identification number?
The Brett Michael Wilson has been assigned the NPI (National Provider Identifier) Number 1699759175 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Brett Michael Wilson is geographically located?
The Brett Michael Wilson is physically situated at the following location: 5227 S Main St, Joplin, MO, 648044916.
What is Brett Michael Wilson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brett Michael Wilson's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services issue the 1699759175 to Brett Michael Wilson?
The Brett Michael Wilson received its 1699759175 assignment from the Centers for Medicare & Medicaid Services on 2005-11-30.
When was the information related to Brett Michael Wilson most recently updated or refreshed?
The details pertaining to the Brett Michael Wilson, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-01-08.