DR. SHELLEY ANN WILSON D.D.S. NPI 1306874797

NPI Information

  • NPI: 1306874797
  • Provider Name: DR. SHELLEY ANN WILSON, D.D.S.
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Individual
  • Address: 2460 LAKESHORE DR
    SAINT JOSEPH, MI
    ZIP 49085
  • Phone: (269) 983-5583

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NPI Details

DR. Shelley Ann Wilson, D.D.S. is an endodontics dentist in Saint Joseph, MI. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. DR. Shelley Ann Wilson, D.D.S. NPI is 1306874797. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2460 LAKESHORE DR
SAINT JOSEPH, MI
ZIP 49085-874
Phone: (269) 983-5583
Fax: (269) 983-5663

The enumeration date for this NPI number is 6/28/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223E0200XDentistEndodontics2901017656MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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