Tracy L. Wilkerson, Dds, Pllc in Charleston - Pediatric Dentistry
Tracy L. Wilkerson, Dds, Pllc - NPI 1760501001
Tracy L. Wilkerson, Dds, Pllc is a Pediatric Dentistry in Charleston, . Tracy L. Wilkerson, Dds, Pllc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Tracy L. Wilkerson, Dds, Pllc is 1760501001. The last update date is 2020-08-22.
Tracy L. Wilkerson, Dds, Pllc's current location address is 1400 Kanawha Blvd E, Charleston, . You can contact this provider via phone number 3043450541 and fax number 3043458718. The mailing address for Tracy L. Wilkerson, Dds, Pllc is 1400 Kanawha Blvd E, Charleston, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tracy L. Wilkerson, Dds, Pllc |
|---|---|
| Address | 1400 Kanawha Blvd E, Charleston, |
| Phone Number | 3043450541 |
| Fax Number | 3043458718 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PEDIATRIC |
|---|---|
| Authorized Official Name | Wilkerson Lynn Tracy |
| Credentials | DDS |
| Telephone Number | 3043450541 |
NPI Number Detail
| NPI Number | 1760501001 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1400 Kanawha Blvd E |
|---|---|
| City | Charleston |
| State | (WV) |
| Post Code | 253013002 |
| Phone Number | 3043450541 |
| Fax Number | 3043458718 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 3529 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1528024460 | WV | INDIVIDUAL NPI | |
| 4005111000 | WV | -- | |
| 3810005586 | WV | -- |
Post Comment/ Review Below
What is the Tracy L. Wilkerson, Dds, Pllc's 1760501001?
The Tracy L. Wilkerson, Dds, Pllc's NPI (National Provider Identifier) Number is 1760501001. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Tracy L. Wilkerson, Dds, Pllc's facilities are situated?
The facilities of Tracy L. Wilkerson, Dds, Pllc are physically located at the following address: 1400 Kanawha Blvd E, Charleston, WV, 253013002.
What is Tracy L. Wilkerson, Dds, Pllc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tracy L. Wilkerson, Dds, Pllc is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.
On what date did the Tracy L. Wilkerson, Dds, Pllc receive its 1760501001 assignment from the Centers for Medicare & Medicaid Services?
The Tracy L. Wilkerson, Dds, Pllc was assigned its 1760501001 by the Centers for Medicare & Medicaid Services on 2007-03-28.
When was the information regarding Tracy L. Wilkerson, Dds, Pllc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Tracy L. Wilkerson, Dds, Pllc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
NPI Number: 1972505162
Address: 1237 Salem Gate Drive, Conyers, GA