Organization
DONALD B. WILCOXON D.D.S, M.S., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD WILCOXON D.D.S., M.S. (OWNER PRESIDENT)
(913) 661-9901
Entity
Organization
Contact information
Practice address
4601 W 109TH ST, SUITE 310, OVERLAND PARK, KS 66211-1318
(913) 661-9901
(913) 661-9702
Mailing address
4601 W 109TH ST, SUITE 310, OVERLAND PARK, KS 66211-1318
(913) 661-9901
(913) 661-9702
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6068
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13166
STATE LICENSE
MO
01
—
6068
STATE LICENSE
KS
Enumeration date
01/26/2007
Last updated
08/22/2020
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