| Clint Wilkinson, D.m.d., P.a. | |
|
1300 W Eau Gallie Blvd Suite B Melbourne FL 32935-5318 | |
| (321) 254-4111 | |
| (321) 254-0071 |
| Full Name | Clint Wilkinson, D.m.d., P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1300 W Eau Gallie Blvd, Melbourne, Florida |
| Authorized Official Name and Position | Carl Clinton Wilkinson (PRESIDENT) |
| Authorized Official Contact | 3212544111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clint Wilkinson, D.m.d., P.a. 1300 W Eau Gallie Blvd Suite B Melbourne FL 32935-5318 Ph: (321) 254-4111 | Clint Wilkinson, D.m.d., P.a. 1300 W Eau Gallie Blvd Suite B Melbourne FL 32935-5318 Ph: (321) 254-4111 |
| NPI Number | 1467546713 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467546713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9357 (Florida) | Primary |
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