DR. BRADLEY W WILKINSON (NPI# 1023147790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023147790 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY W WILKINSON |
| Credential | DDS MS PC |
| Practice Address |
5040 Sanderlin Avenue Suite 101 Memphis TN 38117 |
| Practice Telephone | 9017615155 |
| Practice Fax Number | 9017615130 |
| Mailing Telephone | 9017615155 |
| Mailing Fax Number | 9017615130 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DS005140 | TN | Dental Providers |
| Street Address |
5040 SANDERLIN AVENUE SUITE 101 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154980639 | Zup Medical Services, LLC | Clinic/Center | 4576 Poplar Avenue, Memphis, TN 38117 | 2019-06-10 |
| 1104386028 | Faith Christie Leigh Roby | Counselor | 4646 Poplar Ave Ste 510, Memphis, TN 38117 | 2019-03-25 |
| 1023511300 | Genita Lashonda Johnson-hammond | Specialist | 4565 Quince Rd, 1b, Memphis, TN 38117 | 2018-03-14 |
| 1023547494 | Rivka R Braverman | Licensed Practical Nurse | 5050 Sanderlin Avenue, Memphis, TN 38117 | 2017-06-08 |
| 1285002451 | Shauna Lomax | Physical Therapy Assistant | 258 Leonora Dr, Memphis, TN 38117 | 2015-09-04 |
| 1255735569 | Caring Hearts of The Mid South | In Home Supportive Care | 4646 Poplar, Suite 213b, Memphis, TN 38117 | 2014-10-15 |
| 1063821296 | Tomasz A Charowski | Dentist | 670 Colonial Rd Ste 3, Memphis, TN 38117 | 2014-08-13 |
| 1255760385 | Tennessee Dental Professionals PC | Dentist | 370 Colonial Road, 3, Memphis, TN 38117 | 2013-11-08 |
| 1447692264 | Dory Sellers | Dentist | 4515 Poplar Avenue, Suite 406, Memphis, TN 38117 | 2013-07-22 |
| 1366791808 | Amirio Jonte Armour | Pharmacist | 1760 Moriah Woods, Suite 2, Memphis, TN 38117 | 2012-08-30 |
| Find all providers in zip 38117 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356775134 | Michael D. Blen Dds PC | Dentist | 6363 Poplar Ave Ste 110, Memphis, TN 38119-4802 | 2013-08-28 |
| 1770880064 | Miller Dental Health | Dentist | 5124 Stage Rd Ste C-2, Memphis, TN 38134-3164 | 2011-02-22 |
| 1710191812 | Ashley Suzanne Ramsey | Dentist | Ut College of Medicine 920 Madison Ave, Suite C50, Memphis, TN 38163-0001 | 2007-05-09 |
| 1538382502 | Courtney Lillianne Wilson | Dentist | 3285 Hacks Cross Rd, Ste 101, Memphis, TN 38125-8918 | 2007-04-10 |
| 1790858272 | Harry K. Sharp | Dentist | 875 Union Ave Rm S219, Memphis, TN 38163-0001 | 2006-11-15 |
| 1922197250 | Daniel Derrick Freeman | Dentist | 2567 Appling Rd, Memphis, TN 38133-5099 | 2006-10-12 |
| 1962597971 | Gregory Todd Wilkinson | Dentist | 5610 Murray Rd, Memphis, TN 38119 | 2006-10-04 |
| 1174511604 | Michael D. Blen | Dentist | 6363 Poplar Ave, Suite 110, Memphis, TN 38119-4831 | 2005-10-10 |
| 1760482046 | Sheldon Maurice Graves | Dentist | 4137 Kirby Pkwy, Suite 4, Memphis, TN 38115-6532 | 2005-07-28 |
| 1649890583 | David Eugene Mcnutt | Dentist | University of Tennessee 920 Madison Ave Suite 447, Memphis, TN 38163-0001 | 2020-04-21 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.