Wilkes, Joseph W.

Wilkes, Joseph W. is an individual health care provider with primary practice located at 133 Brookline Ave , Boston MA 02215-3904. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Wilkes, Joseph W. can be contacted via phone (617) 421-1122.

Contact Information

Primary practice address
133 Brookline Ave Boston MA 02215-3904
Phone: (617) 421-1122
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 14190 Massachusetts

Profile Details

NPI number 1639127624
LBN Legal business name Wilkes, Joseph W.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jul 21st, 2022 - about 2 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 1639127624 NPPES
Massachusetts Other J04037 BLUE CROSS
Massachusetts Other 0014822 BLUE CROSS
Massachusetts Other 053896 BLUE CROSS
Massachusetts Other PH126 BLUE CROSS
Massachusetts Other X04592 BLUE CROSS
Massachusetts Other 6245667-002 BLUE CROSS

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