Provider Demographics
NPI:1063201556
Name:WILKINS, ANDREW GEORGE (DDS)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:GEORGE
Last Name:WILKINS
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 RIDGE POINTE DR
Mailing Address - Street 2:
Mailing Address - City:SAPULPA
Mailing Address - State:OK
Mailing Address - Zip Code:74066-4463
Mailing Address - Country:US
Mailing Address - Phone:918-224-3232
Mailing Address - Fax:
Practice Address - Street 1:911 RIDGE POINTE DR
Practice Address - Street 2:
Practice Address - City:SAPULPA
Practice Address - State:OK
Practice Address - Zip Code:74066-4463
Practice Address - Country:US
Practice Address - Phone:918-224-3232
Practice Address - Fax:918-516-3106
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK8060122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist