David J. Wilcox DMD Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4815 Issued in MT

Legal business name

DAVID J. WILCOX DMD INC

Doing business as

Montana Dental Arts

Practice address

1920 S Russell St
Missoula, MT 59801-6624

Phone

(406) 728-6068

Fax

(406) 829-0868

NPI assigned

Jan 18, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Judson Wilcox, DMDNPI 1760766729

Title

Owner/Dentist

Phone

(406) 728-6068

Specialties & licenses 1

Addresses

Other names 1

• Montana Dental Arts Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David J Wilcox, DMD

  • General Practice Dentistry
  • Missoula, MT
  • NPI 1760766729
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1023526480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 S RUSSELL ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016624",
            "telephone_number": "406-728-6068",
            "fax_number": "406-829-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 S RUSSELL ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016624",
            "telephone_number": "406-728-6068",
            "fax_number": "406-829-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J. WILCOX DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JUDSON",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "406-728-6068",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "4815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montana Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lev Darkhovsky
• Clint Darlington
• Laurie Mineo Darnell, PT
• Amanda Darrow
• Danielle Lynn Dauenhauer, RPH, PHARMD
• Elisabeth Davies, LCSW
• Ian Thorson Davies
• Parker Davies, MD
• Zane Carson Davies
• Davis Consultants, PC

• General Practice Dentistry in Missoula, MT
• Providers in Missoula, MT by specialty
• General Practice Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.