| Wheeler Family Dental, Llc | |
|
1 Sw 8th Ave Milton Freewater OR 97862-1595 | |
| (541) 938-7752 | |
| (541) 938-3093 |
| Full Name | Wheeler Family Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 1 Sw 8th Ave, Milton Freewater, Oregon |
| Authorized Official Name and Position | Carl Ivan Wheeler (OWNER/MANAGER) |
| Authorized Official Contact | 5419387752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wheeler Family Dental, Llc 1 Sw 8th Ave Milton Freewater OR 97862-1595 Ph: (541) 938-7752 | Wheeler Family Dental, Llc 1 Sw 8th Ave Milton Freewater OR 97862-1595 Ph: (541) 938-7752 |
| NPI Number | 1164892329 |
|---|---|
| Provider Enumeration Date | 09/30/2015 |
| Last Update Date | 09/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164892329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D8975 (Oregon) | Primary |