IndividualActive
Barry Wilson, DDS
NPI 1609949361 · General Practice Dentistry · Mission, KS
Provider details
- NPI number
- 1609949361
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- KS-6484 (KS)
Specialties & taxonomies
Dental Providers
Practice location
6299 Nall Ave
Suite 200
Mission, KS 66202
Phone: (913) 384-0044
Fax: (913) 432-6635
Approximate (ZIP-level) locationGet directions
Mailing address
6299 Nall Ave
Mission, KS 66202
Registry dates
- Enumerated
- 2006-11-17
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.