Trent Dylan Wilkerson, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

4143-20 Issued in MS

Practice address

6046 U S Highway 49
Hattiesburg, MS 39401-7366

Phone

(601) 582-1143

NPI assigned

Jul 21, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• South Mississippi Dental Care PLLC

  • Dental Clinic/Center
  • Hattiesburg, MS
  • NPI 1851243299
  NPD Authorized official
• Hall Family Dentistry

  • Dental Clinic/Center
  • Carthage, MS
  • NPI 1942468202
  NPD (past)

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1770191173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 QUAIL HOLLOW DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394026028",
            "telephone_number": "228-219-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6046 U S HIGHWAY 49",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017366",
            "telephone_number": "601-582-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "TRENT",
        "middle_name": "DYLAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-21",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "4143-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fantasia Sheanell Wilburn, PHARMD
• Anishia V Wiley, LPC-S
• Candice Wiley, PHARM D.
• Christopher M Wiley, CRNA
• Kaylie Bradshaw Wilkerson, MD
• Christopher Wilkes, LCSW, CAADC
• Heather J Wilkes, LCSW
• Robert G Wilkins, MD
• Whitney Wilkinson, FNP-C
• Will'S Way, LLC

• Dentist in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.