Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376031518 Individual Practitioner Female Practitioner

Dr. Heather Wilson , DDS

Dentist - General Practice • Springfield, MO

Professional Overview & Biography Verified Profile Summary

Dr. Heather Wilson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Springfield, MO. Practice services are available at 3111 S KIMBROUGH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3111 S Kimbrough Ave

Springfield, MO 658075011

Telephone 4178875661
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Springfield, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
120 Specialists

Practicing in Springfield, MO (2113 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-04-14
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MO 2020003562

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1386717734

Doctor of Dental Surgery

NPI 1568535912

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location April 14, 2020

Registered at 3111 S KIMBROUGH AVE, SPRINGFIELD, MO 658075011 (Tel: 4178875661)

📍
Updated Business Mailing Address April 14, 2020

Registered at 3111 S KIMBROUGH AVE, SPRINGFIELD, MO 658075011 (Tel: 4172342930)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2020

Dentist (License #2020003562 in MO)

NPI Profile Active April 24, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 24, 2018

Registered at 6200 13TH AVE S, SEATTLE, WA 981082706 (Tel: 2064616943)

📍
Updated Business Mailing Address April 24, 2018

Registered at 18 NW GREENTREE LN, KANSAS CITY, MO 641161722 (Tel: 4172342930)

👤
Provider Name / Credentials Updated April 24, 2018

Recorded as HEATHER WILSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 24, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376031518
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2018
Last Update: April 14, 2020
Sole Proprietor: Yes

Mailing Address

3111 S Kimbrough Ave

Springfield, MO 658075011

Phone: 4172342930

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.