Individual provider Active NPI

Robert Franklyn Wilcox II, D.M.D

  • General Practice Dentistry
  • Butte, MT
National Provider Identifier
1205029824
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
00000000 Issued in MT
Practice address
2823 Lexington Ave
Butte, MT 59701-3208
Phone
(406) 494-4046
Fax
(406) 494-7772
NPI assigned
Aug 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2269 MT
General Practice Dentistry 1223G0001X 00000000 MT Primary

Addresses

Primary practice location

2823 Lexington Ave
Butte, MT 59701-3208

Mailing address

2823 Lexington Ave
Butte, MT 59701-3208
Phone (406) 494-4046

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

LicenseStateTypeSpecialty
2269MTMDGeneral Practice Dentistry
00000000MTMDLong-Term Care Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Affordable Dental Care PPLC General Practice PastSince Oct 10, 2021 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.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1205029824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 LEXINGTON AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597013208",
            "telephone_number": "406-494-4046",
            "fax_number": "406-494-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 LEXINGTON AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597013208",
            "telephone_number": "406-494-4046",
            "fax_number": "406-494-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "ROBERT",
        "middle_name": "FRANKLYN",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-27",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2269",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "00000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.