Provider Demographics
NPI:1891921425
Name:WILCOX, WARREN CRAIG III (DDS)
Entity Type:Individual
Prefix:DR
First Name:WARREN
Middle Name:CRAIG
Last Name:WILCOX
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:W.
Other - Middle Name:'TREY'
Other - Last Name:WILCOX
Other - Suffix:III
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:7 POINT VIEW TERRACE
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003
Mailing Address - Country:US
Mailing Address - Phone:304-243-0740
Mailing Address - Fax:304-243-0740
Practice Address - Street 1:7 POINT VIEW TERRACE
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003
Practice Address - Country:US
Practice Address - Phone:304-243-0740
Practice Address - Fax:304-243-0740
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-10
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV38681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice