Individual
DR. JEFFREY MICHAEL WILKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10780 RANDOLPH ST, CROWN POINT, IN 46307-7615
(219) 663-6579
(219) 663-5085
Mailing address
3822 KINGSWAY DR, CROWN POINT, IN 46307-8982
(219) 742-2680
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010646A
IN
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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