Individual provider · Type 1 NPI
Freddie Earl Wilkes Jr., DDS
Pediatric Dentistry · Horn Lake, MS
NPI number
1972859627
Active
Practice location
2154 Goodman Rd W # 1
Horn Lake, MS 38637-1303
Mailing address
3451 Goodman Rd E Ste 122
Southaven, MS 38672-9302
Other practice locations
- 3451 Goodman Rd E Ste 122, Southaven, MS 38672-9302 · (662) 892-8565
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | RES.3249 (OH) |
| Pediatric Dentistry Primary | 1223P0221X | 4346-22 (MS) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
4 other providers at this address
Other pediatric dentistry providers in Horn Lake
About NPI 1972859627
Freddie Earl Wilkes Jr., DDS's National Provider Identifier is 1972859627, issued on Jul 31, 2012. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Horn Lake, MS. The record was last updated on Mar 7, 2023.