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: July 19, 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
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

Other Identifiers 2

Medicare UPINT82041
Other58323AR · Bluecross Blueshield

Accepted Insurance

Reviews for DR. MARK EDWARD WILSON DDS MS

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist (Pediatric Dentistry)
4605 FAIRWAY AVE
NORTH LITTLE ROCK, AR 72116
Dentist (Pediatric Dentistry)
4605 FAIRWAY AVE
NORTH LITTLE ROCK, AR 72116

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912924424, enumerated as an "individual" on July 17, 2006.

The provider is located at 4605 FAIRWAY AVE NORTH LITTLE ROCK, AR 72116 and the phone number is (501) 771-2990.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.