NPI 1093807398

Jeffrey Michael Wilkinson, DDS

Practitioner General Practice Dentistry Crown Point, IN

Practice location

Address: 10780 Randolph St, Crown Point, IN 46307-7615
Phone: (219) 663-6579
Fax: (219) 663-5085
Mailing address: 3822 Kingsway Dr, Crown Point, IN 46307-8982

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 12010646A (IN)

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Registry record

NPI: 1093807398
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Sep 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.