Stuart D. Wilkinson, DDS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

139690-9924 Issued in UT

Practice address

1320 N 600 E Ste 3
Logan, UT 84341-2474

Phone

(435) 752-5681

Fax

(435) 752-5744

NPI assigned

Feb 2, 2007

Last updated

Aug 6, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cache Valley Oral & Facial Surgery, Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Logan, UT
  • NPI 1033497417
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1821136805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 N 600 E STE 3",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412474",
            "telephone_number": "435-752-5681",
            "fax_number": "435-752-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 N 600 E STE 3",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412474",
            "telephone_number": "435-752-5681",
            "fax_number": "435-752-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "STUART",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "UT",
            "license": "139690-9924",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "UT",
            "license": "139690-9924",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Andrew Wilkes, PA-C
• Venice Lucia Wilkes, PA-C
• Devin L Wilkey, OTD, OTR/L
• Michael S Wilkinson, DMD, MD
• Rachel G. Wilkinson, C.S.W
• Deven Willardson, BSN, RN
• William W. Martin, DPM, PC (Foot & Ankle Specialty Clinic)
• Brittany J. Williams, FNP-C
• Jason John Williams, LMFT
• Jefri A Williams, D.O.

• Oral & Maxillofacial Surgery (D.M.D.) in Logan, UT
• Providers in Logan, UT by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.