SHANE A WILSON
NPI 1780334664
Dentist in Gravois Mills, MO

Q: What is Shane Wilson's NPI number?

The NPI number for Shane Wilson is 1780334664. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Q: What is Shane Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shane Wilson was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 24, 2022

110 WATSON CIR, GRAVOIS MILLS, MO 65037(763) 528-5539 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Shane A Wilson NPPES

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

SHANE A WILSON (NPI 1780334664) is an individual dentist in Gravois Mills, Missouri, licensed in Missouri (2022019208) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1780334664

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameSHANE A WILSON

Location Address110 WATSON CIRGravois Mills, MO 65037-4625

Mailing Address110 Watson CirGravois Mills, MO 65037-4625 · (763) 528-5539

Phone(763) 528-5539

Sole ProprietorNo

Enumeration DateMarch 24, 2022

Last NPPES UpdateJune 6, 2022

NPPES CertifiedJune 6, 2022

✔ NPI 1780334664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MO · 2022019208

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.

110 WATSON CIR, Gravois Mills, MO 65037

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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 ›

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 Shane Wilson's NPI number?

The NPI number for Shane Wilson is 1780334664. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Shane Wilson located?

Shane Wilson practices at 110 Watson Cir, Gravois Mills, MO 65037. The listed phone number is (763) 528-5539.

What is Shane Wilson's specialty?

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

What insurance does Shane 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 16 other insurers list Shane 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 Shane Wilson was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.