Healthcare Provider Details

I. General information

NPI: 1487565602
Provider Name (Legal Business Name): ANNA MCILWAIN, DDS, MS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6751 PARKER FARM DR STE 101
WILMINGTON NC
28405-3176
US

IV. Provider business mailing address

1500 W MORNING DOVE CT
WILMINGTON NC
28403-0369
US

V. Phone/Fax

Practice location:
  • Phone: 919-880-4017
  • Fax:
Mailing address:
  • Phone: 919-880-4017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ANNA KIHM MCILWAIN
Title or Position: OWNER / PROSTHODONTIST
Credential: DDS
Phone: 919-880-4017