Provider Demographics
NPI:1679535009
Name:WILCOXON, DONALD B (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:B
Last Name:WILCOXON
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Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:4601 W 109TH ST
Mailing Address - Street 2:SUITE #310
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1318
Mailing Address - Country:US
Mailing Address - Phone:913-661-9901
Mailing Address - Fax:913-661-9702
Practice Address - Street 1:4601 W 109TH ST
Practice Address - Street 2:SUITE #310
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1318
Practice Address - Country:US
Practice Address - Phone:913-661-9901
Practice Address - Fax:913-661-9702
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS60681223X0400X
MO131661223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics