WILKIE J STADEKER DDS
NPI 1952523623
Dentist - Periodontics in Marietta, GA

Q: What is Wilkie Stadeker's NPI number?

The NPI number for Wilkie Stadeker is 1952523623. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Q: What is Wilkie Stadeker's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Wilkie Stadeker was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since May 03, 2007PECOS Enrolled

123 MARBLE MILL RD NW, SUITE B, MARIETTA, GA 30060(678) 354-5119(678) 354-5191 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Wilkie J Stadeker Dds NPPES

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

WILKIE J STADEKER DDS (NPI 1952523623) is an individual periodontics provider in Marietta, Georgia, licensed in Georgia (011447) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952523623

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameWILKIE J STADEKERCredential: DDS

Location Address123 MARBLE MILL RD NW, SUITE BMarietta, GA 30060-7954

Mailing Address123 Marble Mill Rd Nw, Suite BMarietta, GA 30060-7954 · (678) 354-5119 · Fax (678) 354-5191

Phone(678) 354-5119

Fax(678) 354-5191

Sole ProprietorYes

Enumeration DateMay 3, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1952523623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in GA · 011447

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

123 MARBLE MILL RD NW, Marietta, GA 30060

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wilkie J Stadeker Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

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

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

DR. KAREN RENEE MILLS DDS

Dentist (General Practice)

123 MARBLE MILL RD NW, SUITE A
MARIETTA, GA 30060

Cobb County (770) 499-7756

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 Wilkie Stadeker's NPI number?

The NPI number for Wilkie Stadeker is 1952523623. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Wilkie Stadeker located?

Wilkie Stadeker practices at 123 Marble Mill Rd NW Suite B, Marietta, GA 30060. The listed phone number is (678) 354-5119.

What is Wilkie Stadeker's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Wilkie Stadeker enrolled in Medicare?

Yes. Wilkie Stadeker is registered in the Medicare PECOS enrollment system.

What insurance does Wilkie Stadeker accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Wilkie Stadeker 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 Wilkie Stadeker was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.