Provider Demographics
NPI:1205029824
Name:WILCOX, ROBERT FRANKLYN II (DMD)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:FRANKLYN
Last Name:WILCOX
Suffix:II
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2823 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-3208
Mailing Address - Country:US
Mailing Address - Phone:406-494-4046
Mailing Address - Fax:406-494-7772
Practice Address - Street 1:2823 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-3208
Practice Address - Country:US
Practice Address - Phone:406-494-4046
Practice Address - Fax:406-494-7772
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-27
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT22691223G0001X
MT000000001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice