Lawrence Wilkoff, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

014850 Issued in MI

Practice address

2645 Coolidge Hwy
Berkley, MI 48072-1554

Phone

(248) 541-5510

NPI assigned

May 4, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Berkley Dental PC

  • Dental Clinic/Center
  • Berkley, MI
  • NPI 1689283509
  NPD (past) Authorized official
• Berkley Family Dental PLLC

  • Dental Clinic/Center
  • Berkley, MI
  • NPI 1316555733
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629280391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 COOLIDGE HWY",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721554",
            "telephone_number": "248-541-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 COOLIDGE HWY",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721554",
            "telephone_number": "248-541-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKOFF",
        "first_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "014850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Weiss, M.ED., MA, LPC
• Jessica Luella White
• Jeannette Rose Wiater, DPT
• Megan Victoria Wilhelm, CCC-SLP
• Joan Wilkoff, D.M.D.
• Dale Williams, BA
• Willow Tree Wellness LLC
• Cindy Wilson, CCC-A/FAAA
• Claire Wilson
• Leia Wolfe, RSST, CAC1

• General Practice Dentistry in Berkley, MI
• Providers in Berkley, MI by specialty
• General Practice Dentistry in Michigan

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.