Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY W WILKINS II, DA
ActiveJERRY W WILKINS II, DA is a Dental Assistant healthcare provider located in PORTLAND, Oregon. NPI 1538726567 is currently active in the NPPES registry. Verify at CMS.
Dental Assistant · PORTLAND, OR
Registration Details
- NPI Number
- 1538726567
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2019 (7.2045184318454 yrs)
- Last Updated
- Oct 12, 2020
- Licenses
-
D160718103 (WA)000525 (OR)
Practice Information
- Address
-
12750 SE STARK ST BLDG EPORTLAND, OR, 972331539Browse OR providers · Browse ZIP 97233
- Phone
- 9713473009
- Fax
- 9712563277
- Primary Specialty
-
Dental Assistant
126800000X
- Additional Specialty
- Dental Assistant
Other Dental Assistant Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| AZITA ZADEH | PTDA | 1144231879 |
| MRS. JONNI LEE MURPHY | DA EFDAII | 1083727119 |
| MRS. TERESA ANN EDMONDS I | EFDA DENTAL ASSISTAN | 1376656215 |
| MS. LORI L VIRELL | EFDA | 1225141898 |
| MRS. CHRISTINA A ROBLEDO | EFDA, PTDA | 1407963127 |
| HEATHER PFAFF | — | 1659482818 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.