Organization
PHILIP C. WILKINS, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP WILKINS (DMD)
(803) 635-6162
Entity
Organization
Contact information
Practice address
124 N CONGRESS ST, WINNSBORO, SC 29180-1119
(803) 635-6162
Mailing address
124 N CONGRESS ST, WINNSBORO, SC 29180-1119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2385
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7355100001
MEDICARE PTAN
SC
Enumeration date
03/22/2007
Last updated
07/28/2015
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