Shane A Wilson is a Gravois Mills, 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 Shane A Wilson is
2022019208 for Dentistry in Missouri. His current practice location is
110 Watson Cir, Gravois Mills. Patients can reach him at
763-528-5539.
Shane A 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:
Shane A 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: | Shane A Wilson |
| Specialization: | Dentist |
| Gender: | Male |
| Accepts Medicare Assignment: | No |
| Practice Address: | 110 Watson Cir, Gravois Mills,
Missouri, 65037-4625 |
| Phone: | 763-528-5539 |
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: | 1780334664 |
| NPI Enumeration Date: | 24 Mar, 2022 |
| NPI Last Update On: | 06 Jun, 2022 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shane A Wilson are as mentioned below.
| License Number | Specialization | State | Status | |
| 2022019208 | Dentistry | Missouri | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 110 Watson Cir,
Gravois Mills, Missouri |
| Zip: | 65037-4625 |
| Phone Number: | 763-528-5539 |
Patients can reach Shane A Wilson at
110 Watson Cir, Gravois Mills, Missouri or can
call to book an appointment on 763-528-5539.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.