DR. Mark M Wilson, D.D.S. is a periodontics dentist in Minneapolis, MN. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Mark M Wilson, D.D.S. NPI is 1588735823. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
825 NICOLLET MALL
SUITE 210
MINNEAPOLIS, MN
ZIP 55402-606
Phone: (612) 332-0869
Fax: (612) 332-2891
The NPI 1588735823 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 11/10/2006 and was last updated on 7/8/2007.