GENE RAY WILSON (NPI# 1265527352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265527352 |
| Entity Type | Individual |
| Full Name | GENE RAY WILSON |
| Credential | DDS |
| Practice Address |
1407 N Westwood Blvd Poplar Bluff MO 63901-0157 |
| Mailing Address |
Po Box 157 Ellington MO 63638-0157 |
| Practice Telephone | 5737783042 |
| Practice Fax Number | 5737789432 |
| Mailing Telephone | 5736632313 |
| Mailing Fax Number | 5736632322 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2012-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 012964 | MO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 407270917 | 05 | |
| MO | DELTA DENTAL | 12964 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841343043 | Gene O'neil Wilson Jr. | Preventive Medicine | 1349 Westen St, Bowling Green, KY 42104-3364 | 2007-01-19 |
| Street Address |
1407 N WESTWOOD BLVD |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901-0157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588777577 | Margaret Rose Mcmillan | Dentist | 1407 N Westwood Blvd, Poplar Bluff, MO 63901-3315 | 2006-08-16 |
| 1932622339 | Kristen M Alexander | Dentist | 1407 N Westwood Blvd, Poplar Bluff, MO 63901-3315 | 2017-07-18 |
| 1811428402 | Big Springs Medical Association | Clinic/Center | 1407 N Westwood Blvd, Poplar Bluff, MO 63901-3315 | 2017-03-24 |
| 1376994525 | Holly Cavness | Dental Hygienist | 1407 N Westwood Blvd, Poplar Bluff, MO 63901-3315 | 2016-06-29 |
| 1871983601 | Natalie Jamyle Bell | Dental Hygienist | 1407 N Westwood Blvd, Poplar Bluff, MO 63901-3315 | 2015-02-02 |
| 1356579080 | Kristin Dyan Green | Dentist | 1407 N Westwood Blvd, Poplar Bluff, MO 63901-3315 | 2009-07-01 |
| 1295820348 | Big Springs Medical Association | Clinic/Center | 1407 N Westwood Blvd, Poplar Bluff, MO 63901-3315 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
| 1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
| 1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| Find all providers in zip 63901 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124342803 | Daniel Jackson | Dentist | 821 W Pine St, Poplar Bluff, MO 63901-4956 | 2010-03-24 |
| 1861646960 | Robert Rowland, Dmd, PC | Dentist | 1611a Lurlyn Dr, Poplar Bluff, MO 63901-2763 | 2008-11-17 |
| 1568623262 | Reeca Daves | Dentist | 2951 Kanell Blvd, Poplar Bluff, MO 63901-4008 | 2008-06-24 |
| 1356538110 | Gary D Ormsby | Dentist | 604 Vine St, Poplar Bluff, MO 63901-5039 | 2007-09-26 |
| 1962600957 | Bobby Joe Ormsby | Dentist | 600 Vine St, Poplar Bluff, MO 63901 | 2007-07-11 |
| 1477651024 | David Eric Robertson Brown | Dentist | 603 Poplar St, Poplar Bluff, MO 63901-5723 | 2006-09-20 |
| 1588777577 | Margaret Rose Mcmillan | Dentist | 1407 N Westwood Blvd, Poplar Bluff, MO 63901-3315 | 2006-08-16 |
| 1710933353 | Randal L. Hillis | Dentist | 1600 West Harper Street, Poplar Bluff, MO 63901-4119 | 2006-05-25 |
| 1053625343 | Eduard Shvartsberg | Dentist | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2010-07-29 |
| 1356579080 | Kristin Dyan Green | Dentist | 1407 N Westwood Blvd, Poplar Bluff, MO 63901-3315 | 2009-07-01 |
| Find all providers in POPLAR BLUFF | ||||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.