1. Home
  2. Directory
  3. Arkansas
  4. North Little Rock
  5. Dentist
  6. NPI Profile

DR. MARK EDWARD WILSON DDS MS
NPI 1912924424
Dentist - Pediatric Dentistry in North Little Rock, AR

Active since July 17, 2006
4605 FAIRWAY AVE, NORTH LITTLE ROCK, AR 72116(501) 771-2990(501) 753-0408 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark Edward Wilson Dds Ms NPPES

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

DR. MARK EDWARD WILSON DDS MS (NPI 1912924424) is an individual pediatric dentistry provider in North Little Rock, Arkansas, licensed in Arkansas (2817) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1912924424
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. MARK EDWARD WILSONCredential: DDS MS
Location Address4605 FAIRWAY AVENorth Little Rock, AR 72116
Mailing Address4605 Fairway AveNorth Little Rock, AR 72116-8052 · (501) 771-2990
Phone(501) 771-2990
Fax(501) 753-0408
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1912924424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in AR · 2817
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
4605 FAIRWAY AVE, North Little Rock, AR 72116
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINT82041
Other58323AR · Bluecross Blueshield

Accepted Insurance

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

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.

PDG DENTAL GROUP PLLC
Dentist (Pediatric Dentistry)
4605 FAIRWAY AVE
NORTH LITTLE ROCK, AR 72116
Pulaski County (501) 771-2990
G FRIEND DDS MS & M WILSON DDS MS PA
Dentist (Pediatric Dentistry)
4605 FAIRWAY AVE
NORTH LITTLE ROCK, AR 72116
Pulaski County (501) 771-2990

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 Mark Wilson's NPI number?

The NPI number for Mark Wilson is 1912924424. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Mark Wilson located?

Mark Wilson practices at 4605 Fairway Ave, North Little Rock, AR 72116. The listed phone number is (501) 771-2990.

What is Mark Wilson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Mark Wilson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Mark 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 Mark Wilson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.