Bruce T Wilson, DDS is a
Dentist - General Practice based in Manila, Arkansas. Bruce T Wilson is licensed to practice in Arkansas (license number 3179) and his current practice location is
322 Hwy 18, Manila, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(870) 561-4400.
NPI number for Bruce T Wilson is 1962561290 and his current mailing address is Po Box 1345, 322 Hwy 18, Manila, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962561290.
Healthcare Provider's Profile
Full Name | Bruce T Wilson |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 322 Hwy 18, Manila, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962561290
- Provider Enumeration Date: 12/06/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Bruce T Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962561290 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 3179 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bruce T Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Bruce T Wilson, DDS Po Box 1345, 322 Hwy 18, Manila, AR 72442-1345 Ph: (870) 561-4400 | Bruce T Wilson, DDS 322 Hwy 18, Manila, AR 72442 Ph: (870) 561-4400 |
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