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CHILDREN'S DENTISTRY
NPI 1760501001
Dentist - Pediatric Dentistry in Charleston, WV

Active since March 28, 2007
1400 KANAWHA BLVD E, CHARLESTON, WV 25301(304) 345-0541(304) 345-8718 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Children's Dentistry NPPES

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

CHILDREN'S DENTISTRY (NPI 1760501001) is a healthcare organization registered as a pediatric dentistry in Charleston, West Virginia and active in the NPI registry since March 2007. The organization lists Tracy Lynn Wilkerson, Pediatric Specialist, as its authorized official.

NPPES Registry Identity

NPI1760501001
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameTRACY L. WILKERSON, DDS, PLLC
Location Address1400 KANAWHA BLVD ECharleston, WV 25301-3002
Mailing Address1400 Kanawha Blvd ECharleston, WV 25301-3002 · (304) 345-0541 · Fax (304) 345-8718
Phone(304) 345-0541
Fax(304) 345-8718
Organization SubpartNo
Authorized OfficialTracy Lynn WilkersonPediatric Specialist · (304) 345-0541
Enumeration DateMarch 28, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1760501001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in WV · 3529
Definition
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.
1400 KANAWHA BLVD E, Charleston, WV 25301
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Other Names 1

Doing Business AsChildren's Dentistry

Other Identifiers 3

Medicaid4005111000WV
Medicaid3810005586WV
Other1528024460WV · Individual Npi

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 SINGLE SPECIALTY GROUP

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 Tracy L. Wilkerson, Dds, PLLC's NPI number?

The NPI number for Tracy L. Wilkerson, Dds, PLLC is 1760501001. It was assigned to this organization in the NPPES registry on March 28, 2007. The provider is doing business as Children's Dentistry.

Where is Tracy L. Wilkerson, Dds, PLLC located?

Tracy L. Wilkerson, Dds, PLLC is located at 1400 Kanawha Blvd E, Charleston, WV 25301. The listed phone number is (304) 345-0541.

What is Tracy L. Wilkerson, Dds, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Tracy L. Wilkerson, Dds, PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.