Patrick R Wilson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN 011921 Issued in MO

Practice address

6744 Clayton Rd
Ste 216
Saint Louis, MO 63117-1634

Phone

(314) 645-1337

Fax

(314) 645-5652

NPI assigned

Jun 1, 2005

Last updated

Oct 4, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791072000000",
    "number": "1609878909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6744 CLAYTON RD",
            "address_2": "STE 216",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171634",
            "telephone_number": "314-645-1337",
            "fax_number": "314-645-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6744 CLAYTON RD",
            "address_2": "STE 216",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171634",
            "telephone_number": "314-645-1337",
            "fax_number": "314-645-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "PATRICK",
        "middle_name": "R",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2026-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "DEN 011921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikki Renee Wilson, APRN
• Olivia Wilson
• Paige Wilson, AGNP-C
• Parker Callaway Wilson, MD
• Patricia Ann Wilson, MSN, FNP- BC
• Rhyz Wilson, CRNA
• Rita D Wilson, C.N.A
• Shayla Raechelle Wilson
• Shereeda Nicole Wilson
• Stacie Michelle Wilson, AGNP-ACHPN

• General Practice Dentistry in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.