NPI
Dr. Bruce T. Wilson D.d.s., Pa
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2021-01-07
- Last updated
- 2021-01-07
Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 3455 W State Highway 18
- City
- Manila AR
- Postal code
- 72442-8005
- Phone
- (870) 561-4400
Organization contact
- Name
- TANYA MCCAIN
- Title
- Office Manager
- Phone
- 8705614400
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Manila, AR. 97 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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