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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACK W. WILSON DDS
NPI 1598774465
Dentist - General Practice in Mount Ida, AR

Active since August 07, 2006
534 LUZERNE ST, MOUNT IDA, AR 71957(870) 867-4244(870) 867-4254 Get Directions Write a Review

NPPES record last updated: July 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack W. Wilson Dds NPPES

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

JACK W. WILSON DDS (NPI 1598774465) is an individual general practice provider in Mount Ida, Arkansas, licensed in Oklahoma (5303) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1598774465
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJACK W. WILSONCredential: DDS
Location Address534 LUZERNE STMount Ida, AR 71957-9449
Mailing Address1201 Mena StMena, AR 71953-4280 · (479) 394-2332 · Fax (479) 437-3708
Phone(870) 867-4244
Fax(870) 867-4254
Sole ProprietorNo
Enumeration DateAugust 7, 2006
Last NPPES UpdateJuly 19, 2026
✔ NPI 1598774465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OK · 5303
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.
534 LUZERNE ST, Mount Ida, AR 71957
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Other Identifiers 1

Other450463188002OK · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 5

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

HEALTHY CONNECTIONS, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
534 LUZERNE ST
MOUNT IDA, AR 71957
Montgomery County (870) 867-4244
HEALTHY CONNECTIONS INC
Clinic/Center (Federally Qualified Health Center (FQHC))
534 LUZERNE ST
MOUNT IDA, AR 71957
Montgomery County (870) 867-4244
SAMANTHA JO STOVALL APRN, NP-C
Nurse Practitioner (Family)
534 LUZERNE ST
MOUNT IDA, AR 71957
Montgomery County (888) 710-8220
DR. JIMMY L BARROW D.O.
Family Medicine
534 LUZERNE ST
MOUNT IDA, AR 71957
Montgomery County (870) 867-4244
AMY STVARTAK APRN
Nurse Practitioner (Family)
534 LUZERNE ST
MOUNT IDA, AR 71957
Montgomery County (870) 867-4244

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 Jack Wilson's NPI number?

The NPI number for Jack Wilson is 1598774465. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is Jack Wilson located?

Jack Wilson practices at 534 Luzerne St, Mount Ida, AR 71957. The listed phone number is (870) 867-4244.

What is Jack Wilson's specialty?

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

What insurance does Jack Wilson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jack 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 Jack Wilson was last updated on July 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.