Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gene Ray Wilson, DDS

Individual provider Dentist · NPI 1265527352

Gene Ray Wilson, DDS is a Dentist in Poplar Bluff, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1407 N Westwood Blvd
Poplar Bluff, MO 63901-0157
Phone: (573) 778-3042
Fax: (573) 778-9432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 012964 (MO)

Record details

NPI number1265527352
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 4, 2006
Last updated in NPPESMarch 1, 2012
Mailing addressPo Box 157, Ellington, MO 63638-0157

Other providers in Poplar Bluff