DR. FREDDIE EARL WILKES JR. D.D.S.
NPI 1972859627
Dentist - Pediatric Dentistry in Horn Lake, MS
About Dr. Freddie Earl Wilkes Jr. D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. FREDDIE EARL WILKES JR. D.D.S. (NPI 1972859627) is an individual pediatric dentistry provider in Horn Lake, Mississippi, licensed in Mississippi (4346-22) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Southaven.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Freddie Earl Wilkes Jr. D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38637 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Freddie Wilkes's NPI number?
The NPI number for Freddie Wilkes is 1972859627. It was assigned to this individual provider in the NPPES registry on July 31, 2012.
Where is Freddie Wilkes located?
Freddie Wilkes practices at 2154 Goodman Rd W # 1, Horn Lake, MS 38637. The listed phone number is (662) 392-9200.
What is Freddie Wilkes's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.
Is Freddie Wilkes enrolled in Medicare?
Yes. Freddie Wilkes is registered in the Medicare PECOS enrollment system.
What insurance does Freddie Wilkes accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 16 other insurers list Freddie Wilkes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Freddie Wilkes was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Freddie Earl Wilkes Jr., D.D.S. · NPI 1972859627
Pediatric Dentistry provider in Horn Lake, Mississippi. Individual provider, active in the CMS NPPES registry since July 31, 2012.
## Identity
- **NPI:** 1972859627 (Entity type: Individual)
- **Enumerated:** July 31, 2012
- **Primary specialty:** Dentist - Pediatric Dentistry · taxonomy 1223P0221X
- **State license:** 4346-22 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 2154 GOODMAN RD W # 1, Horn Lake, MS 38637-1303
- **Phone:** (662) 392-9200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** March 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1972859627) · Data from the CMS NPPES public registry.