Organization
LELAND C. WILHOITE,D.D.S.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LELAND CRAWFORD WILHOITE D.D.S. (PRESIDENT)
(765) 289-6373
Entity
Organization
Contact information
Practice address
2623 W JACKSON ST, MUNCIE, IN 47303-4634
(765) 289-6373
(765) 289-6375
Mailing address
2623 W JACKSON ST, MUNCIE, IN 47303-4634
(765) 289-6373
(765) 289-6375
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009897
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200501540B
—
IN
Enumeration date
07/15/2008
Last updated
07/15/2008
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