Dr. Michael Bruce Wilson , DDS
Dentist • Fulton, MO
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Wilson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Michael Wilson, DDS was a registered Dentist practicing in Fulton, MO. Throughout an active medical career spanning 20 years, Dr. Wilson provided care at the practice location at 600 E 5TH STREET until profile deactivation on 2026-06-04.
Practice Location & Contact Primary Location
600 E 5th Street
Fulton State Hospital
Fulton, MO 65251
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist in Fulton, MO
Practicing in Fulton, MO (1740 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 122300000X
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dietitian, Registered
Registered Dietitian, Licensed Dietitian, Certified Pharmacy Technician
Nurse Practitioner - Family
Family Nurse Practitioner (Certified)
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 04, 2026
NPI status registered as active in NPPES database
Registered at 600 E 5TH STREET, FULTON STATE HOSPITAL, FULTON, MO 65251 (Tel: 5735924100)
Registered at 600 E 5TH ST, FULTON, MO 652511753 (Tel: 5735924100)
Recorded as MICHAEL WILSON, DDS
Dentist (License #014306 in MO)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
600 E 5th St
Fulton, MO 652511753
Phone: 5735924100
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