Jerell James Wilson, D.D.S

Dentist · Lawrence, KS

Individual Active NPI

NPI number 1770844359

Practice location

316 Maine St
Lawrence, KS 66044-1359
Phone
(785) 312-7770
Fax
(785) 312-9447

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NPI record

NPI
1770844359
Entity type
Individual (Type 1)
Enumeration date
May 31, 2012
Last updated
June 30, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2012015521 MO

Mailing address

1811 Zumbehl Rd
Saint Charles, MO 63303-2728
Phone
(636) 947-1800
Fax
(636) 916-0114

About Dr. Wilson

Jerell James Wilson, D.D.S is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 316 Maine St, Lawrence, KS 66044-1359. The NPI number 1770844359 was assigned on May 31, 2012 and the record was last updated on June 30, 2014.

Dr. Wilson lists a license in the registry: #2012015521 (MO) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerell James Wilson, D.D.S?

The NPI number is 1770844359.

What is the phone number of Dr. Wilson?

The phone number listed for the practice location is (785) 312-7770.

Where is Dr. Wilson located?

316 Maine St, Lawrence, KS 66044-1359.

What is the taxonomy code for Dr. Wilson?

The primary taxonomy code is 122300000X – Dentist.

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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