Provider Demographics
NPI:1386066454
Name:WILHELMI, MEGHAN (DMD)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:WILHELMI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 MONTVALE AVE
Mailing Address - Street 2:STE. 101
Mailing Address - City:STONEHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02180-3618
Mailing Address - Country:US
Mailing Address - Phone:781-279-2400
Mailing Address - Fax:781-279-4640
Practice Address - Street 1:67 MONTVALE AVE
Practice Address - Street 2:STE. 101
Practice Address - City:STONEHAM
Practice Address - State:MA
Practice Address - Zip Code:02180-3618
Practice Address - Country:US
Practice Address - Phone:781-279-2400
Practice Address - Fax:781-279-4640
Is Sole Proprietor?:No
Enumeration Date:2014-01-09
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18568731223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry