Individual provider · Type 1 NPI
Tracy Lynn Wilkerson, DDS
Pediatric Dentistry · Charleston, WV
NPI number
1528024460
Active
Practice location
1400 Kanawha Boulevard East
Charleston, WV 25301
Fax (304) 345-8718
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 3529 (WV) |
Pediatric Dentistry: 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.
Other pediatric dentistry providers in Charleston
About NPI 1528024460
Tracy Lynn Wilkerson, DDS's National Provider Identifier is 1528024460, issued on Apr 20, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Charleston, WV. The record was last updated on Aug 18, 2008.