Wilson, Gene Ray
Wilson, Gene Ray is an individual health care provider with primary practice located at 1407 N Westwood Blvd , Poplar Bluff MO 63901-0157. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Wilson, Gene Ray can be contacted via phone (573) 778-3042.Contact Information
Primary practice address
1407 N Westwood Blvd
Poplar Bluff MO 63901-0157
Phone: (573) 778-3042
Fax: (573) 778-9432
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 012964 | Missouri |
Profile Details
| NPI number | 1265527352 |
|---|---|
| LBN Legal business name | Wilson, Gene Ray |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Mar 1st, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265527352 | NPPES |
| Missouri | Other | 12964 | DELTA DENTAL |
| Missouri | MEDICAID | 407270917 | DELTA DENTAL |
Popular Providers
-
Ormsby, Bobby Joe
600 Vine St , Poplar Bluff MO 63901 -
Nunemaker, Merle Allan
400 E Red Bridge Rd Ste 120, Kansas City MO 64131-4029 -
Ormsby, Gary D
604 Vine St , Poplar Bluff MO 63901-5039 -
Hildebrand, Ross Alan
3822 6Th St , Great Bend KS 67530-9733 -
Shvartsberg, Eduard
1500 N Westwood Blvd , Poplar Bluff MO 63901-3318 -
Jackson, Daniel
821 W Pine St , Poplar Bluff MO 63901-4956 -
Green, Kristin Dyan
1407 N Westwood Blvd , Poplar Bluff MO 63901-3315 -
Daves, Reeca
2951 Kanell Blvd , Poplar Bluff MO 63901-4008