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NPI Code Detail

MEDICARE: MR. ROBERT FRANKLYN WILCOX II D.M.D

MEDICARE: MR. ROBERT FRANKLYN WILCOX II D.M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry2269MT
21223G0001XGeneral Practice Dentistry00000000MT

General Provider Information

NPI Number : 1205029824
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT FRANKLYN WILCOX II D.M.D
Provider Business Mailing Address
First Line : 2823 LEXINGTON AVE
Second Line :
City : BUTTE
State : MT
Zip : 59701-3208
Country : US
Telephone Number : 406-494-4046
Fax Number : 406-494-7772
Provider Business Practice Location Address
First Line : 2823 LEXINGTON AVE
Second Line :
City : BUTTE
State : MT
Zip : 59701-3208
Country : US
Telephone Number : 406-494-4046
Fax Number : 406-494-7772
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2007
Last Update Date : 10/04/2021

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