Individual
MR. JOHN L. WILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
200 CONRAD HARCOURT WAY, RUSHVILLE, IN 46173-1100
(765) 932-5533
(765) 932-4569
Mailing address
10270 N. FIVE POINTS ROAD, KNIGHTSTOWN, IN 46148
(765) 932-5533
(765) 932-4569
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010080
IN
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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