Provider Demographics
NPI:1487543856
Name:WILSON, ALISON YOUNG (DDS)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:YOUNG
Last Name:WILSON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8790 HIGHWAY 35 N
Mailing Address - Street 2:
Mailing Address - City:RISON
Mailing Address - State:AR
Mailing Address - Zip Code:71665-9200
Mailing Address - Country:US
Mailing Address - Phone:870-443-1229
Mailing Address - Fax:
Practice Address - Street 1:305 GRAHAM ST
Practice Address - Street 2:
Practice Address - City:FORDYCE
Practice Address - State:AR
Practice Address - Zip Code:71742-3230
Practice Address - Country:US
Practice Address - Phone:870-352-2880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR4870122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist