Provider Demographics
NPI:1376699678
Name:WILKER, BERNARD JULIUS (DDS)
Entity Type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:JULIUS
Last Name:WILKER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9990 ZION CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:ELIDA
Mailing Address - State:OH
Mailing Address - Zip Code:45807-9425
Mailing Address - Country:US
Mailing Address - Phone:419-339-2817
Mailing Address - Fax:
Practice Address - Street 1:3390 W ELM ST
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45807-2223
Practice Address - Country:US
Practice Address - Phone:419-222-1726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.017871122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist