SHEA AARON WILSON (NPI# 1265926620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265926620 |
| Entity Type | Individual |
| Full Name | SHEA AARON WILSON |
| Credential | DMD |
| Practice Address |
750 Gravois Bluffs Blvd Ste C Fenton MO 63026-7720 |
| Practice Telephone | 6362034100 |
| Practice Fax Number | 6362034104 |
| Mailing Telephone | 6362034100 |
| Mailing Fax Number | 6362034104 |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2018018837 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568853174 | Shea Michelle Wilson | Nurse Practitioner | 871 Professional Park Dr, Clarksville, TN 37040-5257 | 2015-02-18 |
| Street Address |
750 GRAVOIS BLUFFS BLVD STE C |
| City | FENTON |
| State | MO |
| Zip Code | 63026-7720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760005474 | Michelle Shanta Heal | Dentist | 750 Gravois Bluffs Blvd Ste C, Fenton, MO 63026-7720 | 2020-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000372 | Allison Egler | Audiologist | 1011 Bowles Ave Ste 405, Fenton, MO 63026 | 2018-01-05 |
| 1629508213 | Holly Brooks Munson | Massage Therapist | 220 Copper Mountain Dr, Fenton, MO 63026 | 2017-06-15 |
| 1073978862 | Naomi Sharon | Nurse Practitioner | 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 | 2015-12-21 |
| 1871981704 | Celtic Private Care of Il & Mo, LLC | In Home Supportive Care | 1653 Larkin Williams Road, Suite 201, Fenton, MO 63026 | 2014-12-30 |
| 1356747513 | Kristina Potts | Nurse Practitioner | 774 Gravois Bluffs Blvd Ste B, Fenton, MO 63026 | 2014-11-14 |
| 1245642420 | Physicians Health Group Medical Inc | General Practice | 960 S. Highway Dr, Fenton, MO 63026 | 2014-05-22 |
| 1598047409 | Kevin Eugene Bruce | Pharmacist | 1210 Sugar Creek, Fenton, MO 63026 | 2011-09-16 |
| 1215186382 | Concentra Health Services, Inc. | Clinic/Center | 128 Matrix Commons Dr., Fenton, MO 63026 | 2008-09-15 |
| 1790954410 | Castlewood Treatment Center LLC | Community/Behavioral Health | 1855 Bowles Ave, Suite 210, Fenton, MO 63026 | 2008-02-27 |
| 1073703617 | Christina R Baeres | Dietitian, Registered | 38 Majestic Ct, Fenton, MO 63026 | 2007-07-30 |
| Find all providers in zip 63026 | ||||
| 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 |
|---|---|---|---|---|
| 1053929778 | Travis Barrett | Dentist | 729 Winding Bluffs Dr, Fenton, MO 63026-5564 | 2020-07-20 |
| 1083086466 | Jay F. Hauser, Dds, PC | Dentist | 750 Gravois Bluffs Blvd, Suite C, Fenton, MO 63026-7726 | 2015-10-26 |
| 1982092128 | Sarah Paxton Dds PC | Dentist | 17197 Silver Pkwy, Fenton, MI 48430-3426 | 2014-12-22 |
| 1386057032 | Andrew Kemlage | Dentist | 1576 Smizer Station Rd, Fenton, MO 63026-3290 | 2014-06-10 |
| 1629239447 | Michelle Ann Sgalia | Dentist | 1398 North Leroy Street, Fenton, MI 48430 | 2008-06-24 |
| 1679740567 | Joseph A. Blaes | Dentist | 1736 Gilsinn Ln, Fenton, MO 63026-2004 | 2008-05-11 |
| 1396953972 | Sarah Lynn Paxton | Dentist | 138 N Leroy St, Fenton, MI 48430-3803 | 2007-05-18 |
| 1609914019 | James Michael Rachor | Dentist | 1398 N Leroy St, Fenton, MI 48430 | 2007-02-01 |
| 1295805026 | Fda PC | Dentist | 1535 N Leroy, F, Fenton, MI 48430 | 2006-11-09 |
| 1740382001 | Roger Barrett Sullivan Sr. | Dentist | 13552 Wenwood Pkwy, Dr Roger B Sullivan, Fenton, MI 48430-1160 | 2006-09-05 |
| Find all providers in FENTON | ||||
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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.