Gene Ray Wilson is a Poplar Bluff, Missouri based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Gene Ray Wilson is 012964 for Dentistry in Missouri. His current practice location is 1407 N Westwood Blvd, Poplar Bluff. Patients can reach him at 573-778-3042.
Gene Ray Wilson is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Gene Ray 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:
Gene Ray Wilson
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
1407 N Westwood Blvd, Poplar Bluff, Missouri, 63901-0157
Phone:
573-778-3042
Fax:
573-778-9432
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:
1265527352
NPI Enumeration Date:
04 Oct, 2006
NPI Last Update On:
01 Mar, 2012
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gene Ray Wilson are as mentioned below.
License Number
Specialization
State
Status
012964
Dentistry
Missouri
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Gene Ray Wilson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
12964
Other
Missouri
DELTA DENTAL
407270917
Medicaid
Missouri
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 157, Ellington, Missouri
Zip:
63638-0157
Phone Number:
573-663-2313
Fax Number:
573-663-2322
Patients can reach Gene Ray Wilson at 1407 N Westwood Blvd, Poplar Bluff, Missouri or can call to book an appointment on 573-778-3042. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.