DR. WILLIAM F WILSON JR. (NPI# 1114040367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114040367 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM F WILSON JR. |
| Credential | DMD |
| Practice Address |
850 Desoto Ave Extended Clarksdale MS 38614 |
| Practice Telephone | 6626271181 |
| Practice Fax Number | 6626273674 |
| Mailing Telephone | 6626271181 |
| Mailing Fax Number | 6626273674 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
210784 | MS | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518515444 | William Wilson | Physician Assistant | 1037 E Caldwell St, Louisville, KY 40204-1857 | 2019-09-04 |
| 1437563293 | William Scot Wilson | Pharmacist | 285 Dunlop Blvd Sw, Suite A, Huntsville, AL 35824-1119 | 2014-06-19 |
| 1003188517 | William Carrel Wilson | Veterinarian | 1599 Major Ave, Riverton, WY 82501-2326 | 2012-01-30 |
| 1477889632 | William Lee Wilson | Massage Therapist | 9900 Sw Wilshire St # 190g, Portland, OR 97225-5035 | 2009-10-22 |
| 1144469644 | William Jarrett Wilson | Registered Nurse | 1554 Ainsworth Ln, Lincoln, CA 95648-3233 | 2009-02-07 |
| 1750570925 | William H Wilson | Chiropractor | 3701 Division St, Suite 131, Metairie, LA 70002-4617 | 2007-10-23 |
| 1316156417 | William Thomas Wilson | Social Worker | 455 Bay St, Suite F, Petoskey, MI 49770-4401 | 2007-05-22 |
| 1336269208 | William Wilson | Ophthalmology | 415 Lakewood Dr, Hamilton, GA 31811-3636 | 2007-04-02 |
| 1902939267 | William Allen Wilson | Internal Medicine | 9261 Old Keene Mill Rd, Burke, VA 22015 | 2007-03-14 |
| 1366598054 | William Wilson | Emergency Medicine | 1200 North Beaver Street, Flagstaff, AZ 86001 | 2007-01-26 |
| Street Address |
850 DESOTO AVE EXTENDED |
| City | CLARKSDALE |
| State | MS |
| Zip Code | 38614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265627 | Lillie Mae Lockett | Technician | 1025 Ritchie Ave, Clarksdale, MS 38614 | 2020-04-28 |
| 1063957751 | Autospa-healthy Youth Center | Nurse Practitioner | 1202 Desoto Ave, Suite A, Clarksdale, MS 38614 | 2017-01-04 |
| 1700226123 | Nikki Nikkia Cager | Internal Medicine | 785 Ohio Ave Ste 2d, Clarksdale, MS 38614 | 2013-06-29 |
| 1205186947 | Celestial Comfort Care Hospice | Hospice Care, Community Based | 110 Yazoo Ave. Suite 212, Clarksdale, MS 38614 | 2012-09-10 |
| 1063667129 | The Smile Center of Clarksdale | Clinic/Center | 526 Choctaw Street, Suites B & C, Clarksdale, MS 38614 | 2008-11-17 |
| 1801060033 | Clarksdale Municipal School District | Local Education Agency (LEA) | Gycelle Tynes Educational Center, Friars Point Road, Clarksdale, MS 38614 | 2008-04-18 |
| 1184806150 | Mary A Williams | Nurse Practitioner | 125 Highway 322, Clarksdale, MS 38614 | 2007-12-03 |
| 1952434920 | Kathleen Tinnel | Nurse Practitioner | 2245 N State St, Clarksdale, MS 38614 | 2007-03-13 |
| 1497888457 | Carole L Mangrem | Pediatrics | 2245 N Starte St, Clarksdale, MS 38614 | 2007-03-13 |
| 1811050313 | Long Family Dentistry Inc | Dentist | 527 Desoto Avenue, Clarksdale, MS 38614 | 2006-12-18 |
| Find all providers in zip 38614 | ||||
| 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 |
|---|---|---|---|---|
| 1457472862 | Malcolm Douglas Bailey | Dentist | 130 Lee Dr, Clarksdale, MS 38614-1909 | 2007-04-03 |
| 1518083948 | Robert Theodore Roberts | Dentist | 632 Friars Point Rd, Clarksdale, MS 38614-9111 | 2007-03-21 |
| 1063503126 | Ralph Joseph Landry | Dentist | 512 1st St, Clarksdale, MS 38614-4410 | 2006-09-27 |
| 1346291580 | Joseph K Shleweet | Dentist | 526 S Choctaw St, Suite B & C, Clarksdale, MS 38614-4807 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706306 | Brenyatta Travis | Dentist | 28 Pass Rd Ste 300, Gulfport, MS 39507-3244 | 2020-10-07 |
| 1518564210 | Reagan Mcnerney | Dentist | 275 11th Ave Sw, Magee, MS 39111-3553 | 2020-10-06 |
| 1841817657 | Kimberly Nicole Lee | Dentist | 105 Broadmoor Dr, Madison, MS 39110-6651 | 2020-06-26 |
| 1255955340 | Terah Shelby | Dentist | 2139 Highway 471, Brandon, MS 39047-8748 | 2020-06-03 |
| 1275157463 | Anderson Reid Bensch | Dentist | 160 Cracker Barrell Dr, Batesville, MS 38606-3031 | 2020-06-03 |
| 1831713213 | Scarlett La'ree Johnson | Dentist | 155 Millhouse Dr, Madison, MS 39110-6964 | 2020-06-02 |
| 1649893363 | Prestige Dental Care | Dentist | 7138 S Siwell Road, Byram, MS 39272 | 2020-05-28 |
| 1831746338 | Gary Williams LLC | Dentist | 100 Marketplace Dr Ste B, Byram, MS 39272-8974 | 2019-08-20 |
| 1518528769 | Huey D Phillips Jr. | Dentist | 5204 Highway 51 N, Senatobia, MS 38668-1712 | 2019-06-27 |
| 1649839291 | Andrew Harris | Dentist | 4505 I-55 Frontage Rd. N, Jackson, MS 39206 | 2019-06-07 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSDALE |
| Zip Code | 38614 |
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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.