# LELAND C. WILHOITE,D.D.S.,P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326202755
- **Authorized official:** MR. LELAND CRAWFORD WILHOITE D.D.S. (PRESIDENT)
- **Authorized official phone:** (765) 289-6373

## Contact information

- **Practice address:** 2623 W JACKSON ST, MUNCIE, IN 47303-4634
- **Practice address phone:** (765) 289-6373
- **Practice address fax:** (765) 289-6375
- **Mailing address:** 2623 W JACKSON ST, MUNCIE, IN 47303-4634
- **Mailing address phone:** (765) 289-6373
- **Mailing address fax:** (765) 289-6375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12009897 | IN | Yes |

## Other

- **Enumeration date:** 07/15/2008
- **Last updated:** 07/15/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200501540B | — | IN |