DR. MARK K WILSON (NPI# 1578633046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578633046 |
| Entity Type | Individual |
| Full Name | DR. MARK K WILSON |
| Credential | DDS |
| Practice Address |
107 N Maple Osceola AR 72370 |
| Mailing Address |
Po Box 307 Osceola AR 72370 |
| Practice Telephone | 8705636900 |
| Practice Fax Number | 8705638298 |
| Mailing Telephone | 8705636900 |
| Mailing Fax Number | 8705638298 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2290 | AR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518313089 | Mark Wilson | Military Health Care Provider | 1101 Grade Ln, 123 Special Tactics, Louisville, KY 40213-2673 | 2016-05-13 |
| 1750736088 | Mark Wilson | Clinic/Center | 5313 Ogden St, Philadelphia, PA 19139-1438 | 2016-04-23 |
| 1992123285 | Mark Wilson | Occupational Therapist | 2820 Roosevelt Road Ste 105, San Diego, CA 92106 | 2014-04-03 |
| 1053611699 | Mark Leo Wilson | Pharmacist | 5049 S 13th St, Leavenworth, KS 66048-5581 | 2010-10-29 |
| 1003132754 | Mark Davis Wilson | Pediatrics | 1909 Us Highway 82 W Ste 3&4, Tifton, GA 31793 | 2010-04-19 |
| 1013076405 | Mark R Wilson | Acupuncturist | 11573 Los Osos Valley Rd Ste H, San Luis Obispo, CA 93405-6497 | 2006-12-08 |
| 1700950771 | Mark Wilson | Chiropractor | 2300 Great Northern Ave Ste B, Missoula, MT 59808-1726 | 2006-11-20 |
| 1437239357 | Mark A. Wilson | Dentist | 400 Duncan Station Rd, Mckeesport, PA 15135-3333 | 2006-10-16 |
| 1831287267 | Mark S Wilson | Anesthesiology | 4444 Corona Dr Ste 215, Corpus Christi, TX 78411-4300 | 2006-10-11 |
| 1679660682 | Mark Wilson | Emergency Medicine | 2801 Franciscan Drive, St. Joseph's Regional Health System- Emergency Dept., Bryan, TX 77802 | 2006-10-10 |
| Street Address |
107 N MAPLE |
| City | OSCEOLA |
| State | AR |
| Zip Code | 72370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417411570 | Southern Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 922 West Kizer St., Osceola, AR 72370 | 2019-01-23 |
| 1831431733 | Shaquata Davis | Social Worker | 1487 West Keiser Ave. Suite 1, Osceola, AR 72370 | 2013-03-19 |
| 1821348855 | Mary Kathryn Campbell | Speech-Language Pathologist | 315 E Union, Osceola, AR 72370 | 2012-09-18 |
| 1518230697 | Nikki D Moore | Case Manager/Care Coordinator | 1487 West Keiser Ave Ste I, Osceola, AR 72370 | 2012-02-20 |
| 1134497845 | Tim Allen | Case Manager/Care Coordinator | 3201 W. Keiser Ave., Osceola, AR 72370 | 2011-12-08 |
| 1184929663 | Gail Renee Barger | Counselor | 3201 West Keiser, Osceola, AR 72370 | 2011-01-14 |
| 1134423833 | Donna Susan Richmond | Speech-Language Pathologist | 1866 S Hwy 77, Osceola, AR 72370 | 2011-01-10 |
| 1972807592 | Meredith Annette Harris | Case Manager/Care Coordinator | 3201 West Keiser Ave, Osceola, AR 72370 | 2010-12-23 |
| 1093018871 | Tabatha G Bingham | Case Manager/Care Coordinator | 3201 W. Keiser, Osceola, AR 72370 | 2010-12-16 |
| 1588974109 | Sheila Lynette Rumph | Case Manager/Care Coordinator | 1487 W. Keiser Ave. Suite 1, Osceola, AR 72370 | 2010-10-15 |
| Find all providers in zip 72370 | ||||
| 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 |
|---|---|---|---|---|
| 1508217878 | Kaisha Brown | Dentist | 320 W Mclane St, Unit #1, Osceola, IA 50213-1523 | 2016-06-28 |
| 1750410619 | Harry Warren Whitis | Dentist | 802 West Keiser Street, Osceola, AR 72370 | 2007-03-05 |
| 1952473068 | Roger John West | Dentist | 320 W Mclane, Osceola, IA 50213-1511 | 2006-11-14 |
| 1477653277 | Richard Leslie Hafdahl | Dentist | 114 Cascade St., Osceola, WI 54020-0387 | 2006-09-22 |
| 1033750070 | Kaushal Shah | Dentist | 101 Hospital Dr, Osceola, MO 64776-9547 | 2019-10-01 |
| 1871156935 | Applewhite Dental Iowa PC | Dentist | 423 S Main St, Osceola, IA 50213-1634 | 2019-04-15 |
| 1457791915 | Phillip A Jakubowicz | Dentist | 103 Osceola Ave, Osceola, IN 46561-2209 | 2013-06-28 |
| 1396008132 | Derek Reid Kerr | Dentist | 148 W Jefferson St, Osceola, IA 50213-1286 | 2012-06-18 |
| 1831354737 | George Nathan Metropulos | Dentist | 108 Chieftain St., Osceola, WI 54020-0159 | 2008-07-21 |
| 1235332784 | Jaime Kathleen Baker | Dentist | 103 Osceola Ave, Osceola, IN 46561-2209 | 2007-06-11 |
| Find all providers in OSCEOLA | ||||
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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.