Organization
ROBERT WHEATLEY DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT T WHEATLEY DDS (OWNER)
(636) 947-6080
Entity
Organization
Contact information
Practice address
1360 S 5TH ST, SUITE 270, SAINT CHARLES, MO 63301-2449
(636) 947-6080
Mailing address
1360 S 5TH ST, SUITE 270, SAINT CHARLES, MO 63301-2449
(636) 947-6080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
014347
MO
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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