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CLARENCE J WILSON JR DDS INC
NPI 1780760058
Dentist - General Practice in Coruthersville, MO

Active since October 31, 2006
109 E 5TH ST, CORUTHERSVILLE, MO 63830(573) 333-1550(573) 333-0055 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clarence J Wilson Jr Dds Inc NPPES

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

CLARENCE J WILSON JR DDS INC (NPI 1780760058) is a healthcare organization registered as a general practice in Coruthersville, Missouri and active in the NPI registry since October 2006. The organization lists Clarence James Wilson, Owner President, as its authorized official.

NPPES Registry Identity

NPI1780760058
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCLARENCE J WILSON JR DDS INC
Location Address109 E 5TH STCoruthersville, MO 63830
Mailing AddressPo Box 937, 109 E 5th StCaruthersville, MO 63830 · (573) 333-1550 · Fax (573) 333-0055
Phone(573) 333-1550
Fax(573) 333-0055
Organization SubpartNo
Authorized OfficialClarence James WilsonOwner President · (573) 333-1550
Enumeration DateOctober 31, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1780760058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 13167
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.

109 E 5TH ST, Coruthersville, MO 63830
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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 5

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

SOUTHEAST MISSOURI HEALTH NETWORK
Clinic/Center (Federally Qualified Health Center (FQHC))
109 E 5TH ST
CARUTHERSVILLE, MO 63830
Pemiscot County (573) 359-9803
AMBERLY D PRITCHARD LPC, NCC
Counselor
109 E 5TH ST
CARUTHERSVILLE, MO 63830
Pemiscot County (573) 359-9803
ADELINE HUBBARD DDS
Dentist
109 E 5TH ST
CARUTHERSVILLE, MO 63830
Pemiscot County (573) 922-5007
MRS. REBECCA VANESSA YOUNG FNP
Nurse Practitioner (Family)
109 E 5TH ST
CARUTHERSVILLE, MO 63830
Pemiscot County (573) 359-9803
SUMMER ALEXANDER NP
Nurse Practitioner (Family)
109 E 5TH ST
CARUTHERSVILLE, MO 63830
Pemiscot County (573) 359-9803

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 Clarence J Wilson Jr Dds Inc's NPI number?

The NPI number for Clarence J Wilson Jr Dds Inc is 1780760058. It was assigned to this organization in the NPPES registry on October 31, 2006.

Where is Clarence J Wilson Jr Dds Inc located?

Clarence J Wilson Jr Dds Inc is located at 109 E 5th St, Coruthersville, MO 63830. The listed phone number is (573) 333-1550.

What is Clarence J Wilson Jr Dds Inc'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 Clarence J Wilson Jr Dds Inc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.