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Contact Information

MICHAEL B WILSON, DDS
600 E 5TH STREET
FULTON STATE HOSPITAL
FULTON, MO65251
 Phone: 573-592-4100
 Fax: 573-592-3023
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for MICHAEL B WILSON · (Male)

NPI Number 1336150754
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/10/2006
Last updated 04/19/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • MO License # 014306
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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