Dr. Bradley W Wilkinson
Pediatric Dentist
5040 Sanderlin Avenue Suite 101
Memphis
, Tennessee 38117
Dr. Bradley W Wilkinson
Pediatric Dentist
5040 Sanderlin Avenue Suite 101
Memphis
, Tennessee 38117
(901) 761-5130
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Bradley W Wilkinson
- 5040 Sanderlin Avenue Suite 101
- Memphis, TN
- Zip : 38117
- Fax : (901) 761-5130
- Phone : (901) 761-5155
Second Address
- Dr. Bradley W Wilkinson
- 5040 Sanderlin Avenue Suite 101
- Memphis, TN
- Zip : 38117
- Fax : (901) 761-5130
- Phone : (901) 761-5155
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | DS005140 | TN |
National Provider Identifier
| NPI | 1023147790 |
|---|---|
| Provider Name | Dr. Bradley W Wilkinson |
| First Address | Memphis, TN 38117 |
| Second Address | Memphis, TN 38117 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/03/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.