Provider Demographics
NPI:1043219926
Name:WILKINSON, THOMAS FRANKLIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:FRANKLIN
Last Name:WILKINSON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 CENTRAL AVE
Mailing Address - Street 2:PO BOX 38
Mailing Address - City:BARBOURSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25504-1303
Mailing Address - Country:US
Mailing Address - Phone:304-736-9441
Mailing Address - Fax:304-736-1984
Practice Address - Street 1:715 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:BARBOURSVILLE
Practice Address - State:WV
Practice Address - Zip Code:25504-1303
Practice Address - Country:US
Practice Address - Phone:304-736-9441
Practice Address - Fax:304-736-1984
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV20541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice