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General NPI Number Information
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NPI Number | 1518132109
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Entity Type | Organization
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Legal Business Name | ROBERT M. WILKINSON, JR., D.D.S., P.A.
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Dates
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Enumeration Date | 04/24/2008
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Last Update Date | 10/01/2012
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Provider Practice Location Address
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Address Line | 1086 WHITAKER RD
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City | WINSTON SALEM
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State | NC
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Zip | 27106-4823
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Country | US
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Telephone | 336-765-9247
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Fax | 336-765-6960
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Provider Business Mailing Address
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Address Line | 1086 WHITAKER RAOD
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City | WINSTON SALEM
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State | NC
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Zip | 27106-4823
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Country | US
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Telephone | 336-765-9247
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Fax | 336-765-6960
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ROBERT MCLAIN WILKINSON JR.
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Credential | D.D.S.
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Telephone | 336-765-9247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 5784
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License Number State | NC
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