Bradley W Wilkinson in Memphis - Pediatric Dentistry

Bradley W Wilkinson - NPI 1023147790

Bradley W Wilkinson is a Pediatric Dentistry in Memphis, Tennessee. Bradley W Wilkinson practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Bradley W Wilkinson is 1023147790. The last update date is 2007-07-08.

Bradley W Wilkinson's current location address is 5040 Sanderlin Avenue, Memphis, Tennessee. You can contact this provider via phone number 9017615155 and fax number 9017615130. The mailing address for Bradley W Wilkinson is 5040 Sanderlin Avenue, Memphis, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Bradley W Wilkinson
Address 5040 Sanderlin Avenue, Memphis, Tennessee
Phone Number 9017615155
Fax Number 9017615130
Sole Proprietor N
Credentials DDS MS PC

NPI Number Detail

NPI Number 1023147790
Provider Enumeration Date 2007-03-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5040 Sanderlin Avenue
City Memphis
State Tennessee (TN)
Post Code 38117
Phone Number 9017615155
Fax Number 9017615130

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No DS005140
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.

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FAQs about Bradley W Wilkinson

What is the unique identifier code issued to Bradley W Wilkinson by the Centers for Medicare & Medicaid Services?

The Bradley W Wilkinson has been assigned the NPI (National Provider Identifier) 1023147790. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Bradley W Wilkinson's facilities are geographically located?

The facilities of Bradley W Wilkinson are physically situated at the following location: 5040 Sanderlin Avenue, Memphis, TN, 38117.

What is Bradley W Wilkinson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Bradley W Wilkinson's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.

On what date did the Bradley W Wilkinson receive its 1023147790 assignment from the Centers for Medicare & Medicaid Services?

The Bradley W Wilkinson was assigned its 1023147790 by the Centers for Medicare & Medicaid Services on 2007-03-05.

As of what date was the information pertaining to Bradley W Wilkinson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Bradley W Wilkinson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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