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Dr. Mark Edward Wilson, DDSMS
Pediatric Dentist in North Little Rock, Arkansas
NPI 1912924424

Mark Edward Wilson is a Pediatric Dentist based in North Little Rock, AR and is specialized in Pediatric Dentistry. Mark Edward Wilson practices in North Little Rock, AR and has the professional credentials of DDSMS. The NPI Number for Mark Edward Wilson is 1912924424 and holds a License No. 2817 (Arkansas).

The current practice location address for Mark Edward Wilson is 4605 Fairway Ave, North Little Rock, AR and can be reached out via phone at 501-771-2990 and via fax at 501-753-0408. You can also correspond with Mark Edward Wilson through the mailing address at 4605 FAIRWAY AVE, NORTH LITTLE ROCK, AR - 72116-8052 (mailing address contact number: 501-771-2990).

Location: 4605 Fairway Ave, North Little Rock, AR, 72116-8052
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Provider Profile Details
NPI Number
1912924424
Provider Name
Mark Edward Wilson
Credential
DDSMS
Provider Entity Type
Individual
Gender
Male
Address
4605 Fairway Ave, North Little Rock, AR, 72116-8052
Phone Number
501-771-2990
Fax Number
501-753-0408
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
58323 01 AR BLUECROSS BLUESHIELD
115618608 05 AR
institution
Provider Business Practice Location Address Details
Address
4605 Fairway Ave
City
State
Zip
72116
Phone Number
501-771-2990
Fax Number
501-753-0408
person
Provider Business Mailing Address Details
Address
4605 Fairway Ave
City
State
Zip
72116-8052
Phone Number
501-771-2990
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
2817 (Arkansas)
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.
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