Mark Clinton Wilson, D.M.D.

General Practice Dentistry · Fort Payne, AL

Individual Active NPI

NPI number 1316037039

Practice location

110 23rd St NW
Fort Payne, AL 35967-3671
Phone
(256) 845-0765
Fax
(256) 845-9895

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NPI record

NPI
1316037039
Entity type
Individual (Type 1)
Enumeration date
October 13, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 3981 AL

About Dr. Wilson

Mark Clinton Wilson, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 110 23rd St NW, Fort Payne, AL 35967-3671. The NPI number 1316037039 was assigned on October 13, 2006 and the record was last updated on July 8, 2007.

Dr. Wilson lists a license in the registry: #3981 (AL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Clinton Wilson, D.M.D.?

The NPI number is 1316037039.

What is the phone number of Dr. Wilson?

The phone number listed for the practice location is (256) 845-0765.

Where is Dr. Wilson located?

110 23rd St NW, Fort Payne, AL 35967-3671.

What is the taxonomy code for Dr. Wilson?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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