Organization
WHOOLERY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN PAUL WHOOLERY D.D.S. (PRESIDENT)
(218) 739-2217
Entity
Organization
Contact information
Practice address
219 E LINCOLN AVE, FERGUS FALLS, MN 56537-2236
(218) 739-2217
(218) 739-2443
Mailing address
219 E LINCOLN AVE, FERGUS FALLS, MN 56537-2236
(218) 739-2217
(218) 739-2443
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D9505
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
954220500
—
MN
Enumeration date
10/11/2006
Last updated
05/29/2014
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