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SHEA AARON WILSON DMD
NPI 1265926620
Dentist in Fenton, MO

Active since June 19, 2018PECOS Enrolled
750 GRAVOIS BLUFFS BLVD STE C, FENTON, MO 63026(636) 203-4100(636) 203-4104 Get Directions Write a Review

NPPES record last updated: June 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shea Aaron Wilson Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHEA AARON WILSON DMD (NPI 1265926620) is an individual dentist in Fenton, Missouri, licensed in Missouri (2018018837) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265926620
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameSHEA AARON WILSONCredential: DMD
Location Address750 GRAVOIS BLUFFS BLVD STE CFenton, MO 63026-7720
Mailing Address750 Gravois Bluffs Blvd Ste CFenton, MO 63026-7720 · (636) 203-4100 · Fax (636) 203-4104
Phone(636) 203-4100
Fax(636) 203-4104
Sole ProprietorNo
Enumeration DateJune 19, 2018
✔ NPI 1265926620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MO · 2018018837
Definition
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.
750 GRAVOIS BLUFFS BLVD STE C, Fenton, MO 63026
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shea Aaron Wilson Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63026 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIFETIME DENTAL CARE OF MISSOURI, RICHARD STRAUS, D.M.D., P.C.
Dentist (General Practice)
750 GRAVOIS BLUFFS BLVD STE C
FENTON, MO 63026
St. Louis County (636) 203-4100
MICHELLE SHANTA PAIGE DMD
Dentist (General Practice)
750 GRAVOIS BLUFFS BLVD STE C
FENTON, MO 63026
St. Louis County (636) 203-4100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shea Wilson's NPI number?

The NPI number for Shea Wilson is 1265926620. It was assigned to this individual provider in the NPPES registry on June 19, 2018.

Where is Shea Wilson located?

Shea Wilson practices at 750 Gravois Bluffs Blvd Ste C, Fenton, MO 63026. The listed phone number is (636) 203-4100.

What is Shea Wilson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Shea Wilson enrolled in Medicare?

Yes. Shea Wilson is registered in the Medicare PECOS enrollment system.

What insurance does Shea Wilson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 7 other insurers list Shea Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shea Wilson was last updated on June 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.