# WHEELER FAMILY DENTISTRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Goodyear Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962917658
- **Authorized official:** DR. KALLEN CLINTON WHEELER DMD (DENTIST)
- **Authorized official phone:** (208) 757-8784

## Contact information

- **Practice address:** 14425 W MCDOWELL RD STE F106, GOODYEAR, AZ 85395-2516
- **Practice address phone:** (623) 925-8208
- **Mailing address:** 10025 LAKE JUNE RD, DALLAS, TX 75217-3041
- **Mailing address phone:** (972) 362-2237

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 31987 | TX | Yes |

## Other

- **Enumeration date:** 12/04/2017
- **Last updated:** 05/13/2020