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Search › Missouri › 122300000X

Shea Wilson, DMD

NPI 1265926620 · on the registry since 2018

Practice

Address
750 Gravois Bluffs Blvd Ste C
Fenton, MO 63026
Phone
(636) 203-4100
Fax
(636) 203-4104
Organisation at this address
Jay F. Hauser, Dds, Pc
Lifetime Dental Care Of Missouri, Richard Straus, D.M.D., P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-06-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri