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

Jerell James Wilson, DDS

Individual provider Dentist · NPI 1770844359

Jerell James Wilson, DDS is a Dentist in Lawrence, Kansas. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2012
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

316 Maine St
Lawrence, KS 66044-1359
Phone: (785) 312-7770
Fax: (785) 312-9447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2012015521 (MO)

Record details

NPI number1770844359
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 31, 2012
Last updated in NPPESJune 30, 2014
Mailing address1811 Zumbehl Rd, Saint Charles, MO 63303-2728

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