William B Boles Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3897 Issued in NC

Practice address

109 Brentwood Center LN N
Wilson, NC 27896-1710

Phone

(252) 291-2892

Fax

(252) 399-7624

NPI assigned

Mar 23, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 23, 2015 through Feb 23, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Boles and Ham DDS PA

  • General Practice Dentistry
  • Wilson, NC
  • NPI 1679546774
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821058058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BRENTWOOD CENTER LN N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961710",
            "telephone_number": "252-291-2892",
            "fax_number": "252-399-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BRENTWOOD CENTER LN N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961710",
            "telephone_number": "252-291-2892",
            "fax_number": "252-399-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLES",
        "first_name": "WILLIAM",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "3897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8990847",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blooming Beginnings PLLC
• Kalyana C. R. Boddapati, M.D
• Body Whole Health and Counseling
• Boles and Ham DDS PA
• William B Boles III, DDS
• Bolton Enterprises I PLLC (First Choice Chiropractic Clinic)
• James Bolton, D.C., M.S.
• Kristie Michelle Bonot, PA - C
• Courtney Bordeaux, FNP
• Alexander Bos, DO

• General Practice Dentistry in Wilson, NC
• Providers in Wilson, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.