DR. BRETT MICHAEL WILSON


Address: 5227 S Main St, Ste D, Joplin, MO 64804-4916
Phone: 4176220004

DR. BRETT MICHAEL WILSON (NPI# 1699759175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699759175
Entity Type Individual
Full Name DR. BRETT MICHAEL WILSON
Credential D.D.S.
Practice Address 5227 S Main St
Ste D
Joplin
MO 64804-4916
Practice Telephone 4176220004
Practice Fax Number 4175537998
Mailing Telephone 4176220004
Mailing Fax Number 4175537998
Enumeration Date 2005-11-30
Last Update Date 2014-01-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
2005015029 MO Dental Providers

Other Providers BRETT WILSON

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1053928804 Brett M Wilson Nurse Practitioner 2030 Nw 5th Ter, Cape Coral, FL 33993-7536 2020-09-25
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1194726307 Brett Lee Wilson Surgery 2521 Glenn Hendren Dr Ste 204, Liberty, MO 64068-3388 2005-08-10
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1720645518 Brett Wilson Behavior Technician 16200 19 Mile Rd, Clinton Township, MI 48038-1103 2019-05-28
1265818918 Brett Wilson Physical Therapy Assistant 6106 Health Center Ln, Fredericksburg, VA 22407-6687 2015-08-05
1386025963 Brett Allen Wilson Student in an Organized Health Care Education/Training Program 625 19th St S, Birmingham, AL 35233-1900 2015-06-09
1164839031 Brett Wilson Nurse Practitioner 541 State Route 664 N, Suite C, Logan, OH 43138-8541 2014-07-12
1922390947 Brett Lonnis Wilson Counselor 2002 S Fillmore St, Little Rock, AR 72204-4909 2011-05-10
1780601252 Brett Wilson II Emergency Medicine 300 W Pueblo St, Santa Barbara, CA 93105-4311 2006-07-17

Office Location

Street Address 5227 S MAIN ST
STE D
City JOPLIN
State MO
Zip Code 64804-4916

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033718903 Lisa Jo Moore Nurse Practitioner 2623 S Main Street, Nixa, MO 64804 2020-10-22
1346859600 Centered and Connected LLC Counselor 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 2020-07-23
1649838780 Nicole Lynn Egan Social Worker 3010 Mcclelland, Joplin, MO 64804 2019-06-04
1902361652 Redings Mill Internal Care Clinic/Center 454 Redings Mill Rd, Joplin, MO 64804 2019-02-06
1447732508 Urgent Care Travel, Inc Clinic/Center 5931 E 32nd Street, Joplin, MO 64804 2018-09-05
1912488891 Karl G. Keczkemethy Dietitian, Registered 100 Mercy Way Ste 570, Joplin, MO 64804 2018-08-28
1790207546 Jacksie Short Dentist 2819 E 29th St, Joplin, MO 64804 2017-07-13
1326574625 Kristine Kwon Rowland Nurse Practitioner 100 Mercy Way Ste 320-330, Joplin, MO 64804 2017-05-05
1942735212 West R Loveland Counselor 3230 S Wisconsin St Suite H, Joplin, MO 64804 2017-04-25
1174070205 Tracy L Fry Nurse Practitioner 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 2016-09-07
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669609137 Jeffrey Owen Knutzen, D.d.s., P.C. Dentist 1819 W 32nd St, Joplin, MO 64804-1528 2009-06-11
1932186905 Benjamin David Rosenberg Dentist 2602 S Picher Ave, Joplin, MO 64804-1641 2005-12-29
1871984609 Benjamin D Rosenberg Dds Inc Dentist 2602 S Picher Ave, Joplin, MO 64804-1641 2015-02-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366068009 Hometown Pediatric Dentistry LLC Dentist 301 S Platte Clay Way Ste A, Kearney, MO 64060-8826 2020-06-18
1710539937 M. Pratt, Dds, LLC Dentist 11709 Old Ballas Rd Ste 200, Saint Louis, MO 63141-7029 2019-07-09
1619471356 Allison W Buford Dentist 2325 Dougherty Ferry Rd Ste 200, Saint Louis, MO 63122-3356 2018-03-19
1972014504 Rock Dental Missouri LLC Dentist 181 N Kentucky Ave Ste 300, West Plains, MO 65775-2092 2017-10-23
1811408479 Waldo Pediatric Dentistry Dentist 8043 Wornall Rd Ste 202, Kansas City, MO 64114-5822 2017-10-22
1437668126 Como Pediatric Dentistry LLC Dentist 1316 Old 63 S Ste 201, Columbia, MO 65201-6092 2017-09-25
1053848374 Summit Pediatric Dentistry Dentist 24 Nw Chipman Rd Ste B, Lees Summit, MO 64063-1929 2017-05-17
1043741309 Unruh Pediatric Dentistry LLC Dentist 717 N Highway 7, Blue Springs, MO 64014-6426 2017-03-27
1932552528 Gerard Feldhaus Dds PC Dentist 415 E 69th Ter, Kansas City, MO 64131-1330 2016-07-19
1356721518 Christopher Drake Dentist 1205 Ne Coronado Dr, Blue Springs, MO 64014-2928 2015-06-03
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Competitor

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City JOPLIN
Zip Code 64804

Improve Information

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Dataset Information

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.

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