NPI 1053329185

Bradley Rix Wilson, DDSMSD

Practitioner General Practice Dentistry Broken Arrow, OK

Practice location

Address: 2619 S Elm Pl, Broken Arrow, OK 74012-7878
Phone: (918) 872-0218
Mailing address: 27234 Stark Ln, Conroe, TX 77385-8071

Registered specialties (2)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 3138 (OK)

Other Dentist providers in Oklahoma →

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence 8242 (TX)

Registry record

NPI: 1053329185
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Aug 2006
Record last updated: 19 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.