Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
2301 HOLMES ST
KANSAS CITY, MO 64108-2677 US
PECOS Enrolled

Grace Elizabeth Wilson

Dentist


Grace Elizabeth Wilson

Overview

Grace Elizabeth Wilson is a Dentist in the KANSAS CITY area. Grace Elizabeth Wilson primary office location is at 2301 HOLMES ST and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1164152054 and the information was updated approximately 2 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
2301 HOLMES ST
KANSAS CITY, MO 64108-2677 US
Phone: (816)-404-5001
Fax:
Practice Mailing Information
4111 BROADWAY UNIT 222
KANSAS CITY, MO 64108-2677 US
Phone: (336)-686-6867
Fax:
License NumberState
2022021359MO

No Identifiers found

TaxonomyStatePrimary?
Dentist - Taxonomy Code 122300000X MOY

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) Yes
Eligible to order/refer Power Mobility Devices (PMD) -