Individual
CAROL E WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
401 BROADWAY, CHICOPEE, MA 01020-2454
(413) 592-0228
(413) 592-8102
Mailing address
401 BROADWAY, CHICOPEE, MA 01020-2454
(413) 592-0228
(413) 592-8102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14835
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020014835MA01
ANTHEM BLUE CROSS
MA
01
—
447199
UNITED CONCORDIA
MA
01
—
X05208
BLUE CROSS
MA
Enumeration date
06/10/2005
Last updated
08/24/2012
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