DR. SHELLEY ANN WILSON (NPI# 1306874797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306874797 |
| Entity Type | Individual |
| Full Name | DR. SHELLEY ANN WILSON |
| Credential | D.D.S. |
| Practice Address |
2460 Lakeshore Dr Saint Joseph MI 49085-1874 |
| Mailing Address |
2520 S State St Saint Joseph MI 49085-1935 |
| Practice Telephone | 2699835583 |
| Practice Fax Number | 2699835663 |
| Mailing Telephone | 2699837683 |
| Mailing Fax Number | 2699835663 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
2901017656 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982080461 | Shelley Wilson | Registered Nurse | 400 Walnut St Ste A, Pocomoke City, MD 21851-1501 | 2015-08-06 |
| 1023402765 | Shelley Wilson | Occupational Therapist | 551 S Higley Rd, Mesa, AZ 85206-2148 | 2015-03-19 |
| 1568781730 | Shelley Carol Wilson | Marriage & Family Therapist | 1151 Dove St, Suite 245, Newport Beach, CA 92660-2840 | 2010-05-26 |
| Street Address |
2460 LAKESHORE DR |
| City | SAINT JOSEPH |
| State | MI |
| Zip Code | 49085-1874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609848464 | Edward Horace Ward | Dentist | 2460 Lakeshore Dr, Saint Joseph, MI 49085-1874 | 2006-02-06 |
| 1386086445 | Melissa Pauline Clevenger | Counselor | 2460 Lakeshore Dr, Saint Joseph, MI 49085-1874 | 2013-07-17 |
| 1295916187 | Family Therapy & Development Centers Inc | Community Based Residential Treatment Facility, Mental Illness | 2460 Lakeshore Dr, Saint Joseph, MI 49085-1874 | 2007-11-19 |
| 1508993247 | Janene Marie Donarski | Psychologist | 2460 Lakeshore Dr, Saint Joseph, MI 49085-1874 | 2007-02-28 |
| 1205934031 | Cristina - Westenburg | Dentist | 2460 Lakeshore Dr, Saint Joseph, MI 49085-1874 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758949 | Ahmed Elshareif | Student in an Organized Health Care Education/Training Program | Lakeland Health, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2020-04-03 |
| 1033747225 | Ezra Fox | Student in an Organized Health Care Education/Training Program | Lakeland Health- Gme, 1234 Napier Avenue, St. Joseph, MI 49085 | 2020-04-01 |
| 1679033930 | Asad Butt | Student in an Organized Health Care Education/Training Program | Lakeland Health-gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2019-03-22 |
| 1184194714 | Benjamin Phillip Knuth | Physical Therapist | 3950 Hollywood Road, Suite 140, Saint Joseph, MI 49085 | 2018-11-27 |
| 1336624279 | Brandi Chatot | Counselor | 1101 Broad Street #8, Saint Joseph, MI 49085 | 2018-09-26 |
| 1396239562 | Lakeland Medical Practices | Family Medicine | 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 | 2018-06-20 |
| 1760976518 | Premier Health Associates, Inc. | Home Health | 1111 Main Sr, St Joseph, MI 49085 | 2018-06-15 |
| 1053817783 | Chantell Strong | Student in an Organized Health Care Education/Training Program | Lakeland Health - Gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2018-04-02 |
| 1386144053 | Anjana Gupta, Dds, Pllc | Dentist | 2800 Niles Road, Saint Joseph, MI 49085 | 2018-02-19 |
| 1356858997 | Hope Reborn Counseling, Pllc | Counselor | 2816 Willa Dr, Saint Joseph, MI 49085 | 2018-01-04 |
| Find all providers in zip 49085 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649471186 | Ryan M. Walker, Dds, PC | Dentist | 803 N 36th St, Suite C, Saint Joseph, MO 64506-2970 | 2007-05-31 |
| 1679658876 | Ryan Mitchell Walker | Dentist | 803 N 36th St, Suite C, Saint Joseph, MO 64506-2970 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647514 | Drs Mesh, P.C. | Dentist | 15555 Silver Parkway, Fenton, MI 48430 | 2020-07-23 |
| 1285252874 | Plymouth Endodontics | Dentist | 9416 S Main St Ste 212, Plymouth, MI 48170-4148 | 2020-07-09 |
| 1578192712 | Rabban-acho Dental Pllc | Dentist | 38550 Garfield Rd Ste C, Clinton Township, MI 48038-3406 | 2020-04-08 |
| 1700411378 | Macomb Endodontics | Dentist | 51817 Gratiot Ave, Chesterfield, MI 48051-2014 | 2020-03-04 |
| 1861950701 | Garfield Road Dental- 2 | Dentist | 15401 Dix Toledo Rd, Southgate, MI 48195-2662 | 2019-03-11 |
| 1336654102 | Elite Endodontics | Dentist | 1135 S Lapeer Rd Ste A, Lake Orion, MI 48360-1432 | 2017-12-02 |
| 1255719456 | Norton Shores Dental PC | Dentist | 837 Seminole Rd Ste 100, Norton Shores, MI 49441-6734 | 2015-05-08 |
| 1396186292 | Ryan Brooks Mcmahan | Dentist | 400 W Main St Ste 106, Gaylord, MI 49735-1870 | 2013-07-09 |
| 1124461579 | Sarmad Mazin Alyas | Dentist | 37641 Pembroke Ave, Livonia, MI 48152-1050 | 2013-04-16 |
| 1568704468 | Arnold Harry Gartner | Dentist | 1547 W Long Lake Rd, Bloomfield Hills, MI 48302-1342 | 2013-03-19 |
| Find all providers with the same taxonomy | ||||
| City | SAINT JOSEPH |
| Zip Code | 49085 |
Please comment or provide details below to improve the information on DR. SHELLEY ANN 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.