Individual
TERRI LYNN WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
770 N COTNER BLVD, SUITE 202, LINCOLN, NE 68505-2310
(402) 434-2360
Mailing address
770 N. COTNER BLVD., SUITE 202, LINCOLN, NE 68505
(402) 434-2360
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5061
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-0757188-00
—
NE
Enumeration date
10/16/2006
Last updated
07/08/2007
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