IndividualActive
Jack Wilson, DDS
NPI 1598774465 · General Practice Dentistry · Mount Ida, AR
Jack Wilson, DDS is a General Practice Dentistry provider in Mount Ida, AR (NPI 1598774465).
Provider details
- NPI number
- 1598774465
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 5303 (OK)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
534 Luzerne St
Mount Ida, AR 71957-9449
Phone: (870) 867-4244
Fax: (870) 867-4254
Street-level locationGet directions
Mailing address
1201 Mena St
Mena, AR 71953-4280
Registry dates
- Enumerated
- 2006-08-07
- Last updated
- 2008-04-14
Frequently asked questions
- What is Jack Wilson's NPI number?
- Jack Wilson's National Provider Identifier (NPI) is 1598774465, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Wilson's specialty?
- Jack Wilson is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jack Wilson located?
- Jack Wilson's practice location on file with NPPES is 534 Luzerne St, Mount Ida, AR 71957-9449.
- What is Jack Wilson's phone number?
- The practice phone number listed in the NPPES registry for Jack Wilson is (870) 867-4244.
- Is Jack Wilson's NPI active?
- Yes — Jack Wilson's NPI (1598774465) is active in the NPPES registry as of the last update on 2008-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.