Wilkerson, Michelle D

Wilkerson, Michelle D is an individual health care provider with primary practice located at 17 Young St , Worcester MA 01603-1420. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Wilkerson, Michelle D can be contacted via phone (508) 753-6777.

Contact Information

Primary practice address
17 Young St Worcester MA 01603-1420
Phone: (508) 753-6777
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 1855276 Massachusetts
Dental Providers / Pediatric Dentistry 1223P0221X 7194 North Carolina

Profile Details

NPI number 1871652354
LBN Legal business name Wilkerson, Michelle D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Nov 10th, 2011 - about 14 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

StateTypeNumberIssuer
All States NPI 1871652354 NPPES
North Carolina MEDICAID 89902HM
North Carolina Other 902HM

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