Individual
JOSEPH W. WILKES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
14190
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014822
NEIGHBORHOOD HEALTH PLAN
MA
01
—
053896
TUFTS HEALTH PLAN
MA
01
—
6245667-002
CIGNA
MA
01
—
J04037
BLUE CROSS
MA
01
—
PH126
HARVARD PILGRIM
MA
01
—
X04592
BCBS DENTAL
MA
Enumeration date
05/04/2006
Last updated
07/21/2022
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