Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. WILLIAM B BOLES JR. DDS
NPI 1821058058
Dentist - General Practice in Wilson, NC

Active since March 23, 2006Opted out of Medicare · through Feb 23, 2027
109 BRENTWOOD CENTER LN N, WILSON, NC 27896(252) 291-2892(252) 399-7624 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. William B Boles Jr. Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WILLIAM B BOLES JR. DDS (NPI 1821058058) is an individual general practice provider in Wilson, North Carolina, licensed in North Carolina (3897) and active in the NPI registry since March 2006. He has opted out of Medicare through February 23, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1821058058
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. WILLIAM B BOLES JR.Credential: DDS
Location Address109 BRENTWOOD CENTER LN NWilson, NC 27896-1710
Mailing Address109 Brentwood Center Ln NWilson, NC 27896-1710 · (252) 291-2892 · Fax (252) 399-7624
Fax(252) 399-7624
Sole ProprietorNo
Enumeration DateMarch 23, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1821058058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NC · 3897
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

109 BRENTWOOD CENTER LN N, Wilson, NC 27896

Other Identifiers 1

Medicaid8990847NC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. William B Boles Jr. Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 23, 2015 through February 23, 2027.

Opt-Out Effective DateFebruary 23, 2015
Opt-Out In Effect ThroughFebruary 23, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27896 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
109 BRENTWOOD CENTER LN N
WILSON, NC 27896
Dentist
109 BRENTWOOD CENTER LN N
WILSON, NC 27896

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Boles's NPI number?

The NPI number for William Boles is 1821058058. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is William Boles located?

William Boles practices at 109 Brentwood Center Ln N, Wilson, NC 27896. The listed phone number is (252) 291-2892.

What is William Boles's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is William Boles enrolled in Medicare?

No. William Boles has opted out of Medicare through February 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for William Boles was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.