Wilkinson Dentistry, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WILKINSON DENTISTRY, PC

Practice address

2900 S Hulen St Ste 30
Fort Worth, TX 76109-1511

Phone

(817) 732-6622

NPI assigned

Oct 25, 2024

Organization subpart

No

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

Authorized official

Name

Dr. John Wilkinson, DMDNPI 1578623294

Title

Owner

Phone

(817) 732-6622

Specialties & licenses 1

Addresses

Other names 2

• Smile Fort Worth Doing business as
• Harlin and Wilkinson Dentistry Partnership Former legal business name

Locations

Practitioners 1

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

• John Wilkinson, DMD

  • General Practice Dentistry
  • Fort Worth, TX
  • NPI 1578623294
  NPD Authorized official

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1609698307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 S HULEN ST STE 30",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091511",
            "telephone_number": "817-732-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S HULEN ST STE 30",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091511",
            "telephone_number": "817-732-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKINSON DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-732-6622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Fort Worth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Harlin and Wilkinson Dentistry Partnership",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Susan Elizabeth Wilkerson, RNC NNP MSN
• John Kevin Wilkes, M.D.
• Raven Wilkins -Shelton, APRN
• Christin Nicole Wilkins, PA
• Jamie Wilkins
• Debra Wilkinson-Faulk, ANP
• Caitlin Wilkinson
• Jared Wilkinson
• John Wilkinson, DMD
• Kallie Wilkinson, MS, CCC-SLP

• Dental Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.