BRUCE T WILSON (NPI# 1962561290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962561290 |
| Entity Type | Individual |
| Full Name | BRUCE T WILSON |
| Credential | D.D.S. |
| Practice Address |
322 Hwy 18 Manila AR 72442 |
| Mailing Address |
Po Box 1345 322 Hwy 18 Manila AR 72442-1345 |
| Practice Telephone | 8705614400 |
| Practice Fax Number | 8705614037 |
| Mailing Telephone | 8705614400 |
| Mailing Fax Number | 8705614037 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3179 | AR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326530551 | Bruce Allen Wilson Jr. | Counselor | 6821 Yakima Ave, Tacoma, WA 98408-5514 | 2018-06-04 |
| 1801049556 | Bruce Wayne Wilson Jr. | Military Health Care Provider | Uss Nashville, Lpd 13, Fpo, AE 09579-1715 | 2008-10-28 |
| 1295826857 | Bruce Edward Wilson | Internal Medicine | 925 Stevens Dr Ste 2e, Richland, WA 99352-3523 | 2006-09-27 |
| 1538188032 | Bruce Edward Wilson | Nurse Anesthetist, Certified Registered | 3840 Fairway Dr, Lapeer, MI 48446-4302 | 2006-07-18 |
| 1346294063 | Bruce Taylor Wilson | Dentist | 123 N 19th Street, Middlesboro, KY 40965-1786 | 2006-05-19 |
| 1295289387 | Bruce Alan Wilson | Pharmacist | 125 Dublin Rd, Peterborough, NH 03458-1343 | 2016-08-07 |
| 1457667487 | Bruce Leonard Wilson | Internal Medicine | 2073 Klockner Raod, Hamilton, NJ 08690 | 2010-08-27 |
| 1548313281 | Bruce Leslie Wilson | Psychologist | 153 E Main St, Suite E, Mount Kisco, NY 10549-2317 | 2007-01-18 |
| 1982761565 | Bruce A. Wilson | Internal Medicine | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2007-01-02 |
| 1093767667 | Bruce Wilson | Physician Assistant | 320 Jefferson St, Whiteville, NC 28472-3602 | 2006-05-16 |
| Street Address |
322 HWY 18 |
| City | MANILA |
| State | AR |
| Zip Code | 72442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765831 | Allison Nicole Hitt | Nurse Practitioner | 3644 W Hwy 18, Manila, AR 72442 | 2020-09-21 |
| 1093167470 | Julia Bailey | Counselor | 603 W. Fleeman St. Suite 4, Manila, AR 72442 | 2016-07-08 |
| 1578834693 | Whitney E Jackson | Speech-Language Pathologist | 4902 W Hwy 158, Manila, AR 72442 | 2012-01-20 |
| 1841435583 | Karen Nelda Burks | Speech-Language Pathologist | 419 East Olympia, Manila, AR 72442 | 2008-12-10 |
| 1043349236 | Richard Brett Wortham | Physical Therapist | 600 West Hwy 18, Manila, AR 72442 | 2007-03-05 |
| 1770638355 | Valerie D Brannen | Counselor | 603 W. Fleeman St, Suite 4, Manila, AR 72442 | 2007-01-24 |
| 1083768436 | Manila School District | Local Education Agency (LEA) | 419 East Olympia Street, Manila, AR 72442 | 2007-01-23 |
| 1164502290 | Brenda A Kennedy | Physician Assistant | 434 Hwy 18 Bypass, Manila, AR 72442 | 2006-10-16 |
| 1699869032 | Jackson's Pharmacy | Pharmacist | 434 Hwy. 18, Ste. C, Manila, AR 72442 | 2006-10-02 |
| 1043318041 | Delta Drugs Inc | Pharmacy | 257 S Hwy 18 Bypass, Manila, AR 72442 | 2006-09-21 |
| Find all providers in zip 72442 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043826944 | Atlas Dental Partners Pllc | Dentist | 3903 W Financial Pkwy, Rogers, AR 72758-1471 | 2020-09-17 |
| 1669086724 | Epic Smiles Pllc | Dentist | 310 E Centerton Blvd, Centerton, AR 72719 | 2020-09-04 |
| 1063023554 | Christopher Marshall | Dentist | 1804 Old Greensboro Rd Bldg B, Jonesboro, AR 72405-0003 | 2020-08-10 |
| 1790394393 | Robert W Bassham Dds Pa | Dentist | 669 Addison Dr, Wynne, AR 72396-1602 | 2020-07-29 |
| 1215545710 | Justin Michael Cooper | Dentist | 5008 S U St Ste 101a, Fort Smith, AR 72903-3613 | 2020-07-21 |
| 1740898584 | Jamie Beavers Dds, P.a. | Dentist | 354 Main Street, Clinton, AR 72031 | 2020-07-17 |
| 1144848490 | Abbey Lynn Norwood | Dentist | 5501 W Pinnacle Pointe Dr Ste 1, Rogers, AR 72758-8133 | 2020-07-13 |
| 1093332728 | Michael Drake | Dentist | 9601 Baptist Health Dr Ste 104, Little Rock, AR 72205-6323 | 2020-06-29 |
| 1235753682 | Drew Bannerman Dds, P.a. | Dentist | 4603 Fairway Ave, North Little Rock, AR 72116-8052 | 2020-06-02 |
| 1669021564 | Steven Michael Clark | Dentist | 1700 University Blvd Ste 105, Morrilton, AR 72110-8004 | 2019-09-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BRUCE T WILSON.
| 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.