Active NPI
Harold T. Wilkerson DMD PSC
- Dentist
- Campbellsville, KY
National Provider Identifier
1013053883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- HAROLD T. WILKERSON DMD PSC
- Practice address
- 227 W Main St
Campbellsville, KY 42718-2325 - Phone
- (270) 465-6204
- Fax
- (270) 469-9424
- NPI assigned
- Jan 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Harold T. Wilkerson, DMD
- Title
- President
- Phone
- (270) 465-6204
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
227 W Main St
Campbellsville, KY 42718-2325
Mailing address
227 W Main St
Campbellsville, KY 42718-2325
Phone (270) 465-6204
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61943783 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
227 W Main St
Campbellsville, KY 42718
Phone (270) 465-6204
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Campbellsville, KY
- NPI 1053474338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1013053883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 W MAIN ST",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427182325",
"telephone_number": "270-465-6204",
"fax_number": "270-469-9424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 W MAIN ST",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427182325",
"telephone_number": "270-465-6204",
"fax_number": "270-469-9424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAROLD T. WILKERSON DMD PSC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-29",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "WILKERSON",
"authorized_official_first_name": "HAROLD",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "270-465-6204",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "61943783",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Campbellsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.