OrganizationActive
Clarence J Wilson Jr DDS Inc
NPI 1780760058 · General Practice Dentistry · Coruthersville, MO
Provider details
- NPI number
- 1780760058
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Clarence Wilson, Owner President(573) 333-1550
- License
- 13167 (MO)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 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
109 E 5th St
Coruthersville, MO 63830
Phone: (573) 333-1550
Fax: (573) 333-0055
Street-level locationGet directions
Mailing address
Po Box 937
Caruthersville, MO 63830
Registry dates
- Enumerated
- 2006-10-31
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.