Curtis Scott Wilkerson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13760 Issued in MO

Practice address

255 N Adams Ave
Lebanon, MO 65536-3045

Phone

(417) 532-4088

NPI assigned

Jan 6, 2007

Last updated

Jul 8, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851449045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N ADAMS AVE",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655363045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N ADAMS AVE",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655363045",
            "telephone_number": "417-532-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "CURTIS",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "13760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Ward, D.O
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• Michael White, PA-C
• Suzanna Wilkerson, PT
• Wilkinson Pharmacy Inc (Wilkinson Pharmacy #285)
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• Shannon Lee Williams, M.A., P.L.P.C.
• William Frank Williams, MD

• General Practice Dentistry in Lebanon, MO
• Providers in Lebanon, MO by specialty
• General Practice Dentistry in Missouri

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.