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HEATHER WILSON DDS LLC
NPI 1386218824
Dentist - General Practice in Springfield, MO

Active since May 19, 2021
3111 S KIMBROUGH AVE, SPRINGFIELD, MO 65807(417) 887-5661 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Heather Wilson Dds Llc NPPES

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

HEATHER WILSON DDS LLC (NPI 1386218824), doing business as Kimbrough Dental Associates, is a healthcare organization registered as a general practice in Springfield, Missouri and active in the NPI registry since May 2021. The organization lists Heather Wilson, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1386218824
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameHEATHER WILSON DDS LLC
Location Address3111 S KIMBROUGH AVESpringfield, MO 65807-5011
Mailing Address3111 S Kimbrough AveSpringfield, MO 65807-5011 · (417) 887-5661
Phone(417) 887-5661
Organization SubpartNo
Authorized OfficialHeather WilsonOwner Dentist · (417) 234-2930
Enumeration DateMay 19, 2021
NPPES CertifiedMay 19, 2021
✔ NPI 1386218824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition

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.

3111 S KIMBROUGH AVE, Springfield, MO 65807
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Other Names 1

Doing Business AsKimbrough Dental Associates

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

DR. HEATHER WILSON DDS
Dentist (General Practice)
3111 S KIMBROUGH AVE
SPRINGFIELD, MO 65807
Greene County (417) 887-5661
KIMBROUGH DENTAL ASSOCIATES LLC
Dentist
3111 S KIMBROUGH AVE
SPRINGFIELD, MO 65807
Greene County (417) 887-5661

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 Heather Wilson Dds LLC's NPI number?

The NPI number for Heather Wilson Dds LLC is 1386218824. It was assigned to this organization in the NPPES registry on May 19, 2021. The provider is doing business as Kimbrough Dental Associates.

Where is Heather Wilson Dds LLC located?

Heather Wilson Dds LLC is located at 3111 S Kimbrough Ave, Springfield, MO 65807. The listed phone number is (417) 887-5661.

What is Heather Wilson Dds LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Heather Wilson Dds LLC was last updated on May 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.