OrganizationActive
Tracy L. Wilkerson, DDS, PLLC
NPI 1760501001 · Pediatric Dentistry · Charleston, WV
Provider details
- NPI number
- 1760501001
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Tracy Wilkerson, Pediatric Specialist(304) 345-0541
- License
- 3529 (WV)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1400 Kanawha Blvd E
Charleston, WV 25301-3002
Phone: (304) 345-0541
Fax: (304) 345-8718
Street-level locationGet directions
Mailing address
1400 Kanawha Blvd E
Charleston, WV 25301-3002
Other names (DBA / former)
- Doing business as
- Children'S Dentistry
Registry dates
- Enumerated
- 2007-03-28
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.