Dr. Mark Edward Wilson is a North Little Rock, Arkansas based Pediatric Dentist who is specialized in Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Mark Edward Wilson is 2817 for Pediatric Dentistry in Arkansas. His current practice location is 4605 Fairway Ave, North Little Rock. Patients can reach him at 501-771-2990.
Dr. Mark Edward Wilson provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Mark Edward Wilson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Mark Edward Wilson
Specialization:
Pediatric Dentist
Gender:
Male
Credentials:
DDS MS
Accepts Medicare Assignment:
No
Practice Address:
4605 Fairway Ave, North Little Rock, Arkansas, 72116
Phone:
501-771-2990
Fax:
501-753-0408
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1912924424
NPI Enumeration Date:
17 Jul, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mark Edward Wilson are as mentioned below.
License Number
Specialization
State
Status
2817
Pediatric Dentistry
Arkansas
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Mark Edward Wilson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
58323
Other
Arkansas
BLUECROSS BLUESHIELD
115618608
Medicaid
Arkansas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4605 Fairway Ave, North Little Rock, Arkansas
Zip:
72116-8052
Phone Number:
501-771-2990
Patients can reach Dr. Mark Edward Wilson at 4605 Fairway Ave, North Little Rock, Arkansas or can call to book an appointment on 501-771-2990. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.