Individual
DR. KYLE WESLEY WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1084 THOMAS JEFFERSON RD, SUITE 5, FOREST, VA 24551-2275
(434) 385-6398
Mailing address
1084 THOMAS JEFFERSON RD, SUITE 5, FOREST, VA 24551-2275
(434) 385-6398
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005293
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007813562
—
VA
01
—
9178611
DORAL SMILES FOR CHILDREN
VA
Enumeration date
08/15/2006
Last updated
07/09/2007
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