DANIEL KELLY WILFONG DDS
NPI 1770765257
Dentist in Parkersburg, WV

Active since November 27, 2007Opted out of Medicare · through May 26, 2027
2905 DUDLEY AVE, PARKERSBURG, WV 26101(304) 424-5002(304) 422-5740 Get Directions Write a Review

NPPES record last updated: November 27, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Daniel Kelly Wilfong Dds NPPES

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

DANIEL KELLY WILFONG DDS (NPI 1770765257) is an individual dentist in Parkersburg, West Virginia, licensed in Ohio (30022126) and active in the NPI registry since November 2007. He has opted out of Medicare through May 26, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1770765257
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDANIEL KELLY WILFONGCredential: DDS
Location Address2905 DUDLEY AVEParkersburg, WV 26101
Mailing Address2905 Dudley AveParkersburg, WV 26101 · (304) 424-5002 · Fax (304) 422-5740
Fax(304) 422-5740
Sole ProprietorNo
Enumeration DateNovember 27, 2007
NPI 1770765257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in OH · 30022126 Licensed in WV · 3699
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2905 DUDLEY AVE, Parkersburg, WV 26101

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Daniel Kelly Wilfong Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 26, 2015 through May 26, 2027.

Opt-Out Effective DateMay 26, 2015
Opt-Out In Effect ThroughMay 26, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

Dentist
2905 DUDLEY AVE
PARKERSBURG, WV 26101
Dentist
2905 DUDLEY AVE
PARKERSBURG, WV 26101
Clinic/Center (Dental)
2905 DUDLEY AVE
PARKERSBURG, WV 26101

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 Daniel Wilfong's NPI number?

The NPI number for Daniel Wilfong is 1770765257. It was assigned to this individual provider in the NPPES registry on November 27, 2007.

Where is Daniel Wilfong located?

Daniel Wilfong practices at 2905 Dudley Ave, Parkersburg, WV 26101. The listed phone number is (304) 424-5002.

What is Daniel Wilfong's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Daniel Wilfong enrolled in Medicare?

No. Daniel Wilfong has opted out of Medicare through May 26, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Daniel Wilfong accept?

Health plans from Florida Combined Life and Highmark Blue Cross Blue Shield West Virginia list Daniel Wilfong as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Daniel Wilfong was last updated on November 27, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.