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DR. SHELLEY ANN WILSON D.D.S.
NPI 1306874797
Dentist - Endodontics in Saint Joseph, MI

Active since June 28, 2006
2460 LAKESHORE DR, SAINT JOSEPH, MI 49085(269) 983-5583(269) 983-5663 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shelley Ann Wilson D.d.s. NPPES

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

DR. SHELLEY ANN WILSON D.D.S. (NPI 1306874797) is an individual endodontics provider in Saint Joseph, Michigan, licensed in Michigan (2901017656) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1306874797
Entity TypeIndividualFemale
Primary Taxonomy1223E0200X
Provider Legal NameDR. SHELLEY ANN WILSONCredential: D.D.S.
Location Address2460 LAKESHORE DRSaint Joseph, MI 49085-1874
Mailing Address2520 S State StSaint Joseph, MI 49085-1935 · (269) 983-7683 · Fax (269) 983-5663
Phone(269) 983-5583
Fax(269) 983-5663
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1306874797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in MI · 2901017656
Definition
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.
2460 LAKESHORE DR, Saint Joseph, MI 49085
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Other Providers at the Same Location NPPES 7

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

DR. RICK E KLUG DDS
Dentist (General Practice)
2460 LAKESHORE DR
ST JOSEPH, MI 49085
Berrien County (269) 983-5583
DR. CRISTINA - WESTENBURG D.D.S.
Dentist (General Practice)
2460 LAKESHORE DR
SAINT JOSEPH, MI 49085
Berrien County (269) 983-5583
FAMILY THERAPY & DEVELOPMENT CENTERS INC
Counselor (Mental Health)
2460 LAKESHORE DR
SAINT JOSEPH, MI 49085
Berrien County (269) 982-3832
MRS. MELISSA PAULINE CLEVENGER LLPC
Counselor (Professional)
2460 LAKESHORE DR
SAINT JOSEPH, MI 49085
Berrien County (269) 982-3832
JANENE MARIE DONARSKI MSW
Psychologist
2460 LAKESHORE DR
SAINT JOSEPH, MI 49085
Berrien County (269) 982-3832
DR. EDWARD HORACE WARD DDS
Dentist
2460 LAKESHORE DR
SAINT JOSEPH, MI 49085
Berrien County (269) 983-5583
DR. DAVID HADDAD DDS
Dentist (General Practice)
2460 LAKESHORE DR
SAINT JOSEPH, MI 49085
Berrien County (269) 983-5583

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 Shelley Wilson's NPI number?

The NPI number for Shelley Wilson is 1306874797. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Shelley Wilson located?

Shelley Wilson practices at 2460 Lakeshore Dr, Saint Joseph, MI 49085. The listed phone number is (269) 983-5583.

What is Shelley Wilson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Shelley Wilson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.