DR. J STEPHEN WILSON (NPI# 1881722395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881722395 |
| Entity Type | Individual |
| Full Name | DR. J STEPHEN WILSON |
| Credential | D.D.S. |
| Practice Address |
4208 Jenny Lind Rd Fort Smith AR 72901-7660 |
| Practice Telephone | 4797823400 |
| Practice Fax Number | 4797828015 |
| Mailing Telephone | 4797823400 |
| Mailing Fax Number | 4797828015 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2514 | AR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235286493 | J Calvin Wilson | Dentist | 317 E North Ave, Flora, IL 62839-2040 | 2007-01-03 |
| 1386696623 | J Patrick Wilson | Counselor | 322 Heymann Blvd, Bldg. B, Ste. 4, Lafayette, LA 70503-2465 | 2006-05-16 |
| 1932151396 | J Frank Wilson | Radiology | 9200 W Wisconsin Ave, Department of Radiation Oncology, Milwaukee, WI 53226-3522 | 2006-05-16 |
| Street Address |
4208 JENNY LIND RD |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72901-7660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003302761 | Southern Dental of Fort Smith Pllc | Dentist | 4208 Jenny Lind Rd, Fort Smith, AR 72901-7660 | 2018-07-06 |
| 1669841946 | Bold Dental Fort Smith West | Dentist | 4208 Jenny Lind Rd, Fort Smith, AR 72901-7660 | 2015-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922627249 | Vaibhav S Desai | Student in an Organized Health Care Education/Training Program | Family Medicine Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2020-04-16 |
| 1689136475 | Prudence Nassem Ipaye-adebiyi | Student in an Organized Health Care Education/Training Program | Family Medicine ; Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2019-04-02 |
| 1134608961 | Baptist Health Services | Otolaryngology | 520 Towson Ave, Suite A, Fort Smith, AR 72901 | 2018-08-13 |
| 1316426125 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 60, Fort Smith, AR 72901 | 2018-08-13 |
| 1396224101 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 100, Fort Smith, AR 72901 | 2018-08-13 |
| 1164901914 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 200, Fort Smith, AR 72901 | 2018-08-13 |
| 1942789755 | Baptist Health Services | Counselor | 1001 Towson Ave Ste 500, Fort Smith, AR 72901 | 2018-08-13 |
| 1669951315 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 175, Fort Smith, AR 72901 | 2018-08-13 |
| 1508345265 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 180, Fort Smith, AR 72901 | 2018-08-13 |
| 1326527086 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 195, Fort Smith, AR 72901 | 2018-08-13 |
| Find all providers in zip 72901 | ||||
| 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 |
|---|---|---|---|---|
| 1215545710 | Justin Michael Cooper | Dentist | 5008 S U St Ste 101a, Fort Smith, AR 72903-3613 | 2020-07-21 |
| 1811483779 | Usama Kamal | Dentist | 7801 Phoenix Ave, Fort Smith, AR 72903-5091 | 2018-07-03 |
| 1194154443 | Moore Dental Care | Dentist | 2913 South 74th Street, Fort Smith, AR 72903 | 2013-11-07 |
| 1851634729 | Bethel Burris Oliver Pllc | Dentist | 4605 S Phoenix Avenue, Fort Smith, AR 72903-1713 | 2013-03-29 |
| 1750638284 | Cole Jerome Johnson | Dentist | 2420 S 51st Ct Ste A, Fort Smith, AR 72903-3669 | 2012-08-15 |
| 1669641098 | Kendall Roberts Dds PC | Dentist | 5505 Euper Lane, Fort Smith, AR 72903 | 2008-02-29 |
| 1982807137 | Kristopher Emery Liggett | Dentist | 3200 Rogers Ave Ste 112, Fort Smith, AR 72903-2954 | 2007-06-06 |
| 1831216977 | R K Girlinghouse Dds Pa | Dentist | 2307 Zero St, Suite #103, Fort Smith, AR 72901-8643 | 2007-03-23 |
| 1548302524 | Ocean Dental of Arkansas, PC | Dentist | 1326 S Waldron Rd, Fort Smith, AR 72903-2556 | 2007-02-13 |
| 1396881421 | R Kendall Roberts | Dentist | 5505 Euper Ln, Suite B, Fort Smith, AR 72903-3233 | 2007-01-29 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72901 |
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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.