David J Wilcox, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4815 Issued in MT

Practice address

1920 S Russell St
Missoula, MT 59801-6624

Phone

(406) 728-6068

Fax

(406) 829-0868

NPI assigned

Oct 7, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• David J Wilcox Professional name

Medicare fee-for-service enrollment

Enrolled in MT

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

Locations

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.

• David J. Wilcox DMD Inc

  • General Practice Dentistry
  • Missoula, MT
  • NPI 1023526480
  NPD Authorized official

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1760766729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 S RUSSELL ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016624",
            "telephone_number": "406-728-6068",
            "fax_number": "406-829-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 S RUSSELL ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016624",
            "telephone_number": "406-728-6068",
            "fax_number": "406-829-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-07",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "6180",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "4815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "WILCOX",
            "middle_name": "J",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Curtis G Wickre, MD
• Kallie Widaman, PHARMD
• Angela Widdicombe, LCSW, LAC
• Emma Wiese
• Jennifer L Wihlborg, LCSW
• Marie Wilcox
• Wild Flower Therapy, LLC
• Samantha Marie Wildeman, PSY.D.
• Wildroots Collective
• Franklin Windle Wiley, MD

• General Practice Dentistry in Missoula, MT
• Providers in Missoula, MT by specialty
• General Practice Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.