WILLIAM M WILCKO (NPI# 1609074400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609074400 |
| Entity Type | Individual |
| Full Name | WILLIAM M WILCKO |
| Credential | DMD MS |
| Practice Address |
6066 Peach St Erie PA 16509 |
| Practice Telephone | 8148688679 |
| Practice Fax Number | 8148689445 |
| Mailing Telephone | 8148688679 |
| Mailing Fax Number | 8148689445 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DS021750L | PA | Dental Providers |
| Street Address |
6066 PEACH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598243073 | Austin Dudenhoefer | Physical Therapist | 8270 Peach St Ste 400, Erie, PA 16509 | 2018-08-06 |
| 1770092884 | Latasha Marie Phillips | Social Worker | 5100 Peach Street, Erie, PA 16509 | 2017-09-21 |
| 1932621307 | Mitchell Meagher | Internal Medicine | 5515 Peach St., Attn: Medical Education, Erie, PA 16509 | 2017-07-07 |
| 1760903702 | Tricia Lee Cubitt | Social Worker | 4756 Springview Drive, Apartment 310, Erie, PA 16509 | 2017-06-29 |
| 1790191617 | Ashley Russell | Physical Therapy Assistant | 1267 South Hill Road, Erie, PA 16509 | 2014-07-11 |
| 1295084085 | Michael David Mccafferty | Internal Medicine | 5332 Rome Court Drive, 301, Erie, PA 16509 | 2012-09-07 |
| 1427303619 | Michelle Mary Dillaene Tobin | Social Worker | 828 W. Gore Road, Erie, PA 16509 | 2012-07-13 |
| 1962761411 | Moshood B Martins | Dentist | 7040 Peach Street, Erie, PA 16509 | 2012-05-03 |
| 1770854549 | Peach Street Dental & Dentures, PC. | Dentist | 7040 Peach St, Erie, PA 16509 | 2012-01-25 |
| 1881989515 | Richard R Sambuchino | Dentist | 4944 Peach Street, Erie, PA 16509 | 2011-06-10 |
| Find all providers in zip 16509 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962761411 | Moshood B Martins | Dentist | 7040 Peach Street, Erie, PA 16509 | 2012-05-03 |
| 1972836187 | Dr. David Verlinich LLC Dba Erie Orthodontics | Dentist | 615 Mitchell Way, Suite 106, Erie, CO 80516 | 2009-09-08 |
| 1629298427 | J D Utley Jr Dmd PC | Dentist | 3900 Zuck Road, Erie, PA 16506 | 2007-04-26 |
| 1649391582 | Doleski and Wolford Orthodontics, P.C. | Dentist | 3230 W 38th St, Erie, PA 16506-4202 | 2007-04-02 |
| 1699812768 | Andrew John Kwasny | Dentist | 3219 Peach St, Erie, PA 16508-2735 | 2007-01-30 |
| 1033264445 | Randy J Ashoff | Dentist | 2437 W 26th St, Erie, PA 16506-3220 | 2007-01-24 |
| 1609933654 | Kevin David Dunlavey | Dentist | 5125 Zuck Rd, Erie, PA 16506-4941 | 2007-01-02 |
| 1245390509 | Clifton Theodore Forsberg | Dentist | 4626 Peach St, Erie, PA 16509-2007 | 2006-12-09 |
| 1902919152 | Jeffrey Alan Benson | Dentist | 2141 W 8th St, Erie, PA 16505-4764 | 2006-08-15 |
| 1720092984 | Willis Gilson Cardot Jr. | Dentist | 2609 W 8th St, Erie, PA 16505-4022 | 2006-07-27 |
| Find all providers in ERIE | ||||
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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.