Organization
EDWARD S. WHEELER, DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD STEPHEN WHEELER DMD (PRESIDENT)
(228) 832-1988
Entity
Organization
Contact information
Practice address
14120 DEDEAUX RD, GULFPORT, MS 39503-4527
(228) 832-1988
(228) 896-3047
Mailing address
14120 DEDEAUX RD, GULFPORT, MS 39503-4527
(228) 832-1988
(228) 896-3047
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2106-84
MS
Other
Enumeration date
02/16/2007
Last updated
01/10/2013
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