Active NPI
Anna Grace Senter Wilmoth, RDH, MPH
- Dental Hygienist
- Elkin, NC
National Provider Identifier
1174407605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 13414
- Practice address
- PO Box 4
Elkin, NC 28621-0004 - Phone
- (336) 366-0411
- NPI assigned
- Aug 5, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 13414 | NC | Primary |
Addresses
Primary practice location
PO Box 4
Elkin, NC 28621-0004
Mailing address
PO Box 4
Elkin, NC 28621-0004
Phone (336) 366-0411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13414 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Smiles Mobile Dentistry | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Elkin, NC
- NPI 1215721022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1174407605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4",
"city": "ELKIN",
"state": "NC",
"postal_code": "286210004",
"telephone_number": "336-366-0411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 4",
"city": "ELKIN",
"state": "NC",
"postal_code": "286210004",
"telephone_number": "336-366-0411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILMOTH",
"first_name": "ANNA",
"middle_name": "GRACE SENTER",
"credential": "RDH, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-05",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NC",
"license": "13414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkin, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.