Leslie Lorraine Wilcox, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9590 Issued in MN

Practice address

16342 County Road 30
Maple Grove, MN 55311-1207

Phone

(763) 420-9876

NPI assigned

Jan 31, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lawrence Kotok Leslie Wilcox LLC

  • General Practice Dentistry
  • Maple Grove, MN
  • NPI 1932367430
  NPD (past) Authorized official

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457498016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16342 COUNTY ROAD 30",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553111207",
            "telephone_number": "763-420-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16342 COUNTY ROAD 30",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553111207",
            "telephone_number": "763-420-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "LESLIE",
        "middle_name": "LORRAINE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "9590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Widder
• James Wiencke, MA, LPCC
• Jill Katherine Wieser, MD
• Sarah Elisabeth Wiger, PA
• Jeannette Louise Wilcox, MD
• Hannah Willford, DC
• William J. Dunlap, D.D.S., P.a. (Cedar Island Dental)
• Elizabeth Williams
• Gorgeous T'Arie Williams
• Justin T Williams

• General Practice Dentistry in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.