Doctor profile · Federal record
Dr. Shea Wilson, DMD
Dentist · Fenton, MO
- NPI 1265926620
- 8 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
750 Gravois Bluffs Blvd Ste C
Fenton, MO 630267720
(636) 203-4100
fax (636) 203-4104
Credentials & registration
- NPI registered
- June 2018 — 8 yrs on file
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Missouri #2018018837
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1265926620. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$75
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Straumann USA LLC | 2 | $74.64 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
18
Patients
17
Total drug cost
$103
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 18 | 17 | $103 |
Frequently asked questions
What is Dr. Shea Wilson's medical specialty?
Dr. Shea Wilson practices Dentist in Fenton, MO.
Where does Dr. Shea Wilson practice?
Dr. Shea Wilson practices at 750 Gravois Bluffs Blvd Ste C, Fenton, MO 630267720. Office phone: 6362034100.
What is Dr. Shea Wilson's NPI?
Dr. Shea Wilson's National Provider Identifier (NPI) is 1265926620, issued by NPPES.