Individual
DR. REBECCA T WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
KY 6755 KYSL 674
KY
1223P0221X
Pediatric Dentistry
Primary
KY 6755 KYSL 674
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60000601
—
KY
05
—
7100101220
—
KY
Enumeration date
10/23/2006
Last updated
01/20/2015
Update your record
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