DR. BRUCE T. WILSON D.D.S., PA
NPI 1821686684
Clinic/Center - Dental in Manila, AR

Active since January 07, 2021
3455 W STATE HIGHWAY 18, MANILA, AR 72442(870) 561-4400(870) 561-4037 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Bruce T. Wilson D.d.s., Pa NPPES

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

DR. BRUCE T. WILSON D.D.S., PA (NPI 1821686684), doing business as Wilson Dental, is a healthcare organization registered as a dental in Manila, Arkansas and active in the NPI registry since January 2021. The organization lists Tanya Mccain, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1821686684
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDR. BRUCE T. WILSON D.D.S., PA
Location Address3455 W STATE HIGHWAY 18Manila, AR 72442-8005
Mailing AddressPo Box 1345Manila, AR 72442-1345 · (870) 561-4400
Fax(870) 561-4037
Organization SubpartNo
Authorized OfficialTanya MccainOffice Manager · (870) 561-4400
Enumeration DateJanuary 7, 2021
NPPES CertifiedJanuary 7, 2021
NPI 1821686684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
3455 W STATE HIGHWAY 18, Manila, AR 72442

Other Names 1

Doing Business AsWilson Dental

Other Identifiers 1

Medicaid180606608AR

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 Dr. Bruce T. Wilson D.D.S., PA's NPI number?

The NPI number for Dr. Bruce T. Wilson D.D.S., PA is 1821686684. It was assigned to this organization in the NPPES registry on January 7, 2021.

Where is Dr. Bruce T. Wilson D.D.S., PA located?

Dr. Bruce T. Wilson D.D.S., PA is located at 3455 W State Highway 18, Manila, AR 72442. The listed phone number is (870) 561-4400.

What is Dr. Bruce T. Wilson D.D.S., PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Dr. Bruce T. Wilson D.D.S., PA was last updated on January 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.