Organization
MOTOWN CHILDREN'S GENERAL ANESTHESIA DENTISTRY, PLLC
Active
Organization
MOTOWN CHILDREN'S GENERAL ANESTHESIA DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF WHEELER (BUSINESS MANAGER)
(301) 494-3000
Entity
Organization
Contact information
Practice address
33545 CHERRY HILL RD FL 2, WESTLAND, MI 48186-4842
(313) 293-7777
Mailing address
1220 CARAWAY CT STE 1050, UPPER MARLBORO, MD 20774-5338
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223D0004X
Dental Anesthesiology
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
207L00000X
Anesthesiology Physician
Primary
—
—
207LP3000X
Pediatric Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
10/06/2023
Last updated
04/07/2026
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