| Mark K Wilson Dds | |
|
107 N Maple St Osceola AR 72370-2537 | |
| (870) 563-6900 | |
| (870) 563-8298 |
| Full Name | Mark K Wilson Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 107 N Maple St, Osceola, Arkansas |
| Authorized Official Name and Position | Mark K Wilson (OWNER) |
| Authorized Official Contact | 8705636900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark K Wilson Dds Po Box 307 Osceola AR 72370-0307 Ph: (870) 563-6900 | Mark K Wilson Dds 107 N Maple St Osceola AR 72370-2537 Ph: (870) 563-6900 |
| NPI Number | 1235725839 |
|---|---|
| Provider Enumeration Date | 12/17/2020 |
| Last Update Date | 12/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235725839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |