Mary B Wilkinson, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2019036502 Issued in MO

Practice address

304 SW Greenwich Dr
Lees Summit, MO 64082-4408

Phone

(281) 460-4886

NPI assigned

Dec 4, 2019

Last updated

Nov 29, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1487291886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 ROCKHILL RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641103312",
            "telephone_number": "281-460-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 SW GREENWICH DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824408",
            "telephone_number": "281-460-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "MARY",
        "middle_name": "B",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-04",
        "last_updated": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61730",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2019036502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Wiemann
• Patricia A Wike, P.T.
• Gabrielle Wilcox
• Sara H Wilhite, DMD
• Mark S Wilkes, CRNA
• William E. Luther, Jr., D.D.S., L.L.C.
• Austin Tyler Williams, PT, DPT, OCS, CSCS
• Debra Lynn Williams, MD
• Douglas Wayne Williams, DPH
• James M Williams, DDS

• Dentist in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.