T. Palmer Wilks, Jr., D.M.D., P.a.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2304-86 Issued in MS

Legal business name

T. PALMER WILKS, JR., D.M.D., P.A.

Practice address

213 Hoy Rd
Madison, MS 39110-8709

Phone

(601) 856-4110

Fax

(601) 856-8109

NPI assigned

Mar 26, 2008

Organization subpart

No

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

Authorized official

Name

Dr. T. Palmer Wilks Jr., D.M.D.

Title

President

Phone

(601) 856-4110

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1306018619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 859",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391300859",
            "telephone_number": "601-856-4110",
            "fax_number": "601-856-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 HOY RD",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391108709",
            "telephone_number": "601-856-4110",
            "fax_number": "601-856-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T. PALMER WILKS, JR., D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "WILKS",
        "authorized_official_first_name": "T. PALMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-856-4110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MS",
            "license": "2304-86",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Madison, MS
• Providers in Madison, MS by specialty
• Dental Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.