Shane A Wilson, | |
110 Watson Cir, Gravois Mills, MO 65037-4625 | |
(763) 528-5539 | |
Not Available |
Full Name | Shane A Wilson |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 110 Watson Cir, Gravois Mills, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780334664 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 2022019208 (Missouri) | Primary |
Mailing Address | Practice Location Address |
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Shane A Wilson, 110 Watson Cir, Gravois Mills, MO 65037-4625 Ph: (763) 528-5539 | Shane A Wilson, 110 Watson Cir, Gravois Mills, MO 65037-4625 Ph: (763) 528-5539 |
Mark A Handley, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 401 N Main St, Gravois Mills, MO 65037 Phone: 877-406-2662 Fax: 573-207-2773 | |
Dr. Freddie Ramos, DMD Dentist Medicare: Medicare Enrolled Practice Location: 401 N Main St, Gravois Mills, MO 65037 Phone: 877-406-2662 Fax: 573-207-2773 |