Wikle, Charles W.

Wikle, Charles W. is an individual health care provider with primary practice located at 1043 S Madison St , Tupelo MS 38801-6309. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Wikle, Charles W. can be contacted via phone (662) 842-8200.

Contact Information

Primary practice address

1043 S Madison St Tupelo MS 38801-6309

Phone: (662) 842-8200

Fax: (662) 844-3157

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Dental Providers / Oral and Maxillofacial Surgery	1223S0112X	MS162174	Mississippi

Profile Details

NPI number	1730194614
LBN Legal business name	Wikle, Charles W.
Credentials	Doctor of Dental Surgery (DDS)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Jul 29th, 2006
Last updated	Jul 9th, 2007 - about 17 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

State	Type	Number	Issuer
All States	NPI	1730194614	NPPES
Mississippi	MEDICAID	00063290

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