Individual
PAUL WAYNE WILKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
1201 N STONEWALL AVE, OKLAHOMA CITY, OK 73117-1214
(405) 271-7744
(405) 271-7799
Mailing address
1201 N STONEWALL AVE, OKLAHOMA CITY, OK 73117-1214
(405) 271-7744
(405) 271-7799
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
3789
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100134140
—
OK
Enumeration date
01/08/2007
Last updated
08/01/2019
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