| Heather Wilson Dds Llc | |
|
3111 S Kimbrough Ave Springfield MO 65807-5011 | |
| (417) 887-5661 | |
| Not Available |
| Full Name | Heather Wilson Dds Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3111 S Kimbrough Ave, Springfield, Missouri |
| Authorized Official Name and Position | Heather Wilson (OWNER DENTIST) |
| Authorized Official Contact | 4172342930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Wilson Dds Llc 3111 S Kimbrough Ave Springfield MO 65807-5011 Ph: (417) 887-5661 | Heather Wilson Dds Llc 3111 S Kimbrough Ave Springfield MO 65807-5011 Ph: (417) 887-5661 |
| NPI Number | 1386218824 |
|---|---|
| Provider Enumeration Date | 05/19/2021 |
| Last Update Date | 05/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386218824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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