Wilkins Center for Family Dentistry PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11792 Issued in GA

Legal business name

WILKINS CENTER FOR FAMILY DENTISTRY PC

Practice address

5468 Memorial Drive Ste. a
Stone Mountain, GA 30083

Phone

(404) 292-2900

Fax

(404) 292-3929

NPI assigned

Apr 24, 2008

Organization subpart

No

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

Authorized official

Name

Mr. James A Wilkins Sr.

Title

Administrator

Phone

(404) 292-2900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jawanna Smith Wilkins, DDS

  • General Practice Dentistry
  • Bradenton, FL
  • NPI 1497876809
  NPD (past)

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1184899833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5468 MEMORIAL DRIVE",
            "address_2": "STE A",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "30083",
            "telephone_number": "404-292-2900",
            "fax_number": "404-292-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5468 MEMORIAL DRIVE STE. A",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "30083",
            "telephone_number": "404-292-2900",
            "fax_number": "404-292-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKINS CENTER FOR FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-292-2900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "11792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770316C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney'S Place Inc.
• Wholistic Living Inc.
• Stephanie Elizabeth Wiesman, MS, LMHC, LPC
• Rhochelle Wilhite
• Charles R Wilkerson, D.C.
• Willene'S Home Care Services Corporation
• Diane Williams-White, R.N.
• Alfreda Dearing Williams, LMSW
• Ayana Williams
• Brittany Williams

• General Practice Dentistry in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.