Organization · Type 2 NPI
T. Palmer Wilks, Jr., D.m.d., P.a.
Dental Clinic/Center · Madison, MS
NPI number
1306018619
Active
Practice location
213 Hoy Rd
Madison, MS 39110-8709
Fax (601) 856-8109
Mailing address
PO Box 859
Madison, MS 39130-0859
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 2304-86 (MS) |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Madison
About NPI 1306018619
T. Palmer Wilks, Jr., D.m.d., P.a.'s National Provider Identifier is 1306018619, issued on Mar 26, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Madison, MS. The record was last updated on Mar 26, 2008.