MICHELLE D WILKERSON (NPI# 1871652354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871652354 |
| Entity Type | Individual |
| Full Name | MICHELLE D WILKERSON |
| Credential | DDS |
| Practice Address |
17 Young St Worcester MA 01603-1420 |
| Mailing Address |
790 Boylston St Apt 5j Boston MA 02199-7905 |
| Practice Telephone | 5087536777 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2011-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
7194 | NC | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
1855276 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89902HM | 05 | |
| BLUE CROSS BLUE SHIELD NC | 902HM | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255886636 | Michelle Aneese Wilkerson | Counselor | 4020 Folker St, Anchorage, AK 99508-5321 | 2016-08-16 |
| Street Address |
17 YOUNG ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01603-1420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255869657 | David Huynh | Dentist | 17 Young St, Worcester, MA 01603-1420 | 2017-05-30 |
| 1861861049 | Ankita Bansal | Dentist | 17 Young St, Worcester, MA 01603-1420 | 2015-09-17 |
| 1083840284 | Nguyen Minh Tau | Dentist | 17 Young St, Worcester, MA 01603-1420 | 2009-06-03 |
| 1669675989 | Asma A Hameed | Dentist | 17 Young St, Worcester, MA 01603-1420 | 2007-06-06 |
| 1831210541 | Dongmei Yang | Dentist | 17 Young St, Worcester, MA 01603-1420 | 2007-04-02 |
| 1831210632 | Kenny A Lam | Dentist | 17 Young St, Worcester, MA 01603-1420 | 2007-04-02 |
| 1629116355 | Webster Square Dental | Dentist | 17 Young St, Worcester, MA 01603-1420 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134783228 | Drx Uc Worcester PC | Family Medicine | 117 A Stafford St, Worcester, MA 01603 | 2019-04-24 |
| 1487165072 | Heather B Mandeville | Counselor | 70 James St., Suite #270, Worcester, MA 01603 | 2017-10-23 |
| 1952812059 | Jeffrey S Jones II | Social Worker | 70 James St Ste 270, Worcester, MA 01603 | 2017-10-16 |
| 1497275796 | Ardent Companion Homecare LLC | Home Health | 93 Stafford Street, Suite 202, Worcester, MA 01603 | 2017-06-27 |
| 1144769167 | Aloria Health of Worcester, LLC | Community Based Residential Treatment Facility, Mental Illness | 1183 Main St, Worcester, MA 01603 | 2017-02-23 |
| 1023562048 | Isha Sood | Dentist | Dental Dreams, 68 Stafford Street, Worcester, MA 01603 | 2016-08-08 |
| 1316395742 | Brandie Casassa | Counselor | 55 Seminole Drive, Worcester, MA 01603 | 2016-05-26 |
| 1760854699 | Accurate Health Care LLC | Custodial Care Facility | One Corporate Square, Hartford, CT 01603 | 2015-10-30 |
| 1093124182 | Taylor Pearson | Counselor | 24 Alsada Drive, Worcester, MA 01603 | 2014-08-04 |
| 1861732158 | Christiana Acheampong | Student in an Organized Health Care Education/Training Program | 540 Park Avenue, Worcester, MA 01603 | 2013-02-22 |
| Find all providers in zip 01603 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437477395 | Kanchi Kapadia | Dentist | 10 Winthrop St Ste 317, Worcester, MA 01604-4438 | 2010-05-17 |
| 1265540090 | Manouch Darvish | Dentist | 200 Lincoln Street, Worcester, MA 01605 | 2006-08-29 |
| 1780694836 | Matthew W Panagiotu | Dentist | 144 Pleasant St, Worcester, MA 01609-3208 | 2006-08-09 |
| 1407263908 | Worcester Hills Dental PC | Dentist | 290 Park Ave, Worcester, MA 01609-1805 | 2014-07-16 |
| 1588928394 | Anna Ross | Dentist | 102 Shore Dr, Suite 302, Worcester, MA 01605-3154 | 2012-06-26 |
| 1326315862 | Vernon Hill Pediatric Dentistry | Dentist | 10 Winthrop St, #317/318, Worcester, MA 01604-4435 | 2011-11-29 |
| 1003043514 | Lahair & Gallagher Pediatric Dentistry, LLC | Dentist | 102 Shore Dr, Suite 302, Worcester, MA 01605-3154 | 2009-06-11 |
| 1215196704 | Patrick W Mcgary | Dentist | 102 Shore Dr, Suite 302, Worcester, MA 01605-3154 | 2008-06-09 |
| 1245402577 | Worcester Pediatric Dental Group LLC | Dentist | 144 Pleasant St, Worcester, MA 01609-3208 | 2008-03-27 |
| 1487712675 | Drs Darvish & Gallagher PC | Dentist | 200 Lincoln Street, Worcester, MA 01605 | 2006-12-04 |
| Find all providers in WORCESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.