Julia Marie Wilson, DMD
Individual provider Active NPI General Practice Dentistry · Brewster, MA
NPI 1053972083 · NPPES record last updated Jan 9, 2024
Key facts
- NPI
- 1053972083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN1858356 (MA)
- Practice address
- 2187 Main St
Brewster, MA 02631-1817 - Phone
- (508) 896-5951
- NPI assigned
- Jun 20, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1858356 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breakwater Dental, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN1858356 | MA | Yes |
Addresses
Primary practice location
2187 Main St
Brewster, MA 02631-1817
Mailing address
PO Box 174
Hyannis Port, MA 02647
Phone (774) 265-5475
Other names
- Julia Marie Ariola
Other providers in Brewster, MA
- Peter J Waful
- Kevin Whelley
- Janice Whittaker
- Margaret Wilbur
- Constance Wilkinson
- Debra Jean Wood
- James M. Woods
- Frances Zepeda
- Mary Louise Zurlinden
All providers in Brewster, MA · General Practice Dentistry in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.