Provider Demographics
NPI:1619405636
Name:WILKINS-LEMPA, JESSICA MARIA (DDS)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:MARIA
Last Name:WILKINS-LEMPA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 GREYSTONE RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-1914
Mailing Address - Country:US
Mailing Address - Phone:504-615-9339
Mailing Address - Fax:
Practice Address - Street 1:9224 ARDREY KELL RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-4951
Practice Address - Country:US
Practice Address - Phone:504-615-9339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-03
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA67551223G0001X
NC140371223D0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0004XDental ProvidersDentistDental Anesthesiology
No1223G0001XDental ProvidersDentistGeneral Practice