Individual
DR. ADRIAN WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
211 DONALD DR STE B, FAIRFIELD, OH 45014-3069
(513) 454-1111
Mailing address
PO BOX 837, HAMILTON, OH 45012-0837
(513) 869-4917
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10642
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30.026877
ELICENSE
OH
Enumeration date
06/28/2021
Last updated
03/06/2024
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