Organization
WILHELM AND PARKHURST, DDS,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK L WILHELM DDS (DENTIST)
(910) 392-1905
Entity
Organization
Contact information
Practice address
5503 OLEANDER DR, WILMINGTON, NC 28403-5813
(910) 392-1905
(910) 392-0462
Mailing address
5503 OLEANDER DR, WILMINGTON, NC 28403-5813
(910) 392-1905
(910) 392-0462
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4968
NC
122300000X
Dentist
6167
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
545685
UNITED CONCORDIA
NC
05
—
8999283
—
NC
Enumeration date
01/03/2007
Last updated
07/02/2008
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