Wilkerson, Marcus Allen

Wilkerson, Marcus Allen is an sole proprietor health care provider with primary practice located at 1048 Union St , Bangor ME 04401-3016. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Wilkerson, Marcus Allen can be contacted via phone (207) 992-2152.

Contact Information

Primary practice address
1048 Union St Bangor ME 04401-3016
Phone: (207) 992-2152
Fax: (207) 992-2154
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2009013195 Missouri
Dental Providers / Dentist 122300000X DEN4256 Maine

Profile Details

NPI number 1972739274
LBN Legal business name Wilkerson, Marcus Allen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2009
Last updated May 17th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972739274 NPPES
Maine Other DEN4256 LICENSE

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