| Donald B. Wilcoxon D.d.s, M.s., Pa | |
|
4601 W 109th St Suite 310 Overland Park KS 66211-1318 | |
| (913) 661-9901 | |
| (913) 661-9702 |
| Full Name | Donald B. Wilcoxon D.d.s, M.s., Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4601 W 109th St, Overland Park, Kansas |
| Authorized Official Name and Position | Donald Wilcoxon (OWNER PRESIDENT) |
| Authorized Official Contact | 9136619901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald B. Wilcoxon D.d.s, M.s., Pa 4601 W 109th St Suite 310 Overland Park KS 66211-1318 Ph: (913) 661-9901 | Donald B. Wilcoxon D.d.s, M.s., Pa 4601 W 109th St Suite 310 Overland Park KS 66211-1318 Ph: (913) 661-9901 |
| NPI Number | 1932255288 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932255288 | NPI | - | NPPES |
| 6068 | Other | KS | STATE LICENSE |
| 13166 | Other | MO | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 6068 (Kansas) | Primary |
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