Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FREDDIE EARL WILKES JR., D.D.S.
ActiveDR. FREDDIE EARL WILKES JR., D.D.S. is a Pediatric Dentistry healthcare provider located in HORN LAKE, Mississippi. NPI 1972859627 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · HORN LAKE, MS
Registration Details
- NPI Number
- 1972859627
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2012 (13.998419806934 yrs)
- Last Updated
- Mar 7, 2023
- Licenses
-
RES.3249 (OH)4346-22 (MS)
Practice Information
- Address
-
2154 GOODMAN RD W # 1HORN LAKE, MS, 386371303Browse MS providers · Browse ZIP 38637
- Phone
- 6623929200
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in HORN LAKE, MS
| Name | Credential | NPI |
|---|---|---|
| JULIANNE ANDRADE | DDS | 1922740786 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.