| Edward S. Wheeler, Dmd, Pa | |
|
14120 Dedeaux Rd Gulfport MS 39503-4527 | |
| (228) 832-1988 | |
| (228) 896-3047 |
| Full Name | Edward S. Wheeler, Dmd, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14120 Dedeaux Rd, Gulfport, Mississippi |
| Authorized Official Name and Position | Edward Stephen Wheeler (PRESIDENT) |
| Authorized Official Contact | 2288321988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward S. Wheeler, Dmd, Pa 14120 Dedeaux Rd Gulfport MS 39503-4527 Ph: (228) 832-1988 | Edward S. Wheeler, Dmd, Pa 14120 Dedeaux Rd Gulfport MS 39503-4527 Ph: (228) 832-1988 |
| NPI Number | 1639213275 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 01/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639213275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2106-84 (Mississippi) | Primary |
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