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WILKES DENTAL CONSORTIUM
NPI 1508380544
Dentist - General Practice in North Wilkesboro, NC

Active since August 01, 2017
1915 W PARK DR STE 104, NORTH WILKESBORO, NC 28659(336) 903-9399 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 1, 2017 (2 updates tracked since 2017).

About Wilkes Dental Consortium NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILKES DENTAL CONSORTIUM (NPI 1508380544) is a healthcare organization registered as a general practice in North Wilkesboro, North Carolina and active in the NPI registry since August 2017. The organization lists Dedra Roberts, Front Desk Manager, as its authorized official.

NPPES Registry Identity

NPI1508380544
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWILKES DENTAL CONSORTIUM
Location Address1915 W PARK DR STE 104North Wilkesboro, NC 28659-3777
Mailing Address1915 W Park Dr Ste 104North Wilkesboro, NC 28659-3777 · (336) 903-9399
Phone(336) 903-9399
Organization SubpartNo
Authorized OfficialDedra RobertsFront Desk Manager · (336) 903-9399
Enumeration DateAugust 1, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1508380544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1915 W PARK DR STE 104, North Wilkesboro, NC 28659
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Other Identifiers 2

Medicaid1962565788NC
Other911943799NC · Nchc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDY JAMES STARON DMD
Dentist
1915 W PARK DR STE 104
NORTH WILKESBORO, NC 28659
Wilkes County (336) 903-9399
PATRICK BENJAMIN MILLER
Dentist (General Practice)
1915 W PARK DR STE 104
NORTH WILKESBORO, NC 28659
Wilkes County (336) 903-9300
JEREMIAH JAMES FAW DDS
Dentist (General Practice)
1915 W PARK DR STE 104
NORTH WILKESBORO, NC 28659
Wilkes County (336) 903-9399
KRISTIN KAELKE MILLER
Dentist (General Practice)
1915 W PARK DR STE 104
NORTH WILKESBORO, NC 28659
Wilkes County (336) 903-9399
DR. BRIAN KELLY COOK
Dentist (General Practice)
1915 W PARK DR STE 104
NORTH WILKESBORO, NC 28659
Wilkes County (336) 903-7300
CAITLYN DALY DMD
Dentist
1915 W PARK DR STE 104
NORTH WILKESBORO, NC 28659
Wilkes County (860) 331-3385
DR. NIKKI RAY CRISLIP DMD
Dentist (General Practice)
1915 W PARK DR STE 104
NORTH WILKESBORO, NC 28659
Wilkes County (336) 903-9399
DR. KEARA VINCENT DDS
Dentist (General Practice)
1915 W PARK DR STE 104
NORTH WILKESBORO, NC 28659
Wilkes County (336) 903-9399

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wilkes Dental Consortium's NPI number?

The NPI number for Wilkes Dental Consortium is 1508380544. It was assigned to this organization in the NPPES registry on August 1, 2017.

Where is Wilkes Dental Consortium located?

Wilkes Dental Consortium is located at 1915 W Park Dr Ste 104, North Wilkesboro, NC 28659. The listed phone number is (336) 903-9399.

What is Wilkes Dental Consortium's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Wilkes Dental Consortium was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.