Individual
DR. DILLON T WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
6211 W 30TH ST STE D, INDIANAPOLIS, IN 46224-3057
(317) 299-0353
(317) 298-8196
Mailing address
6211 W 30TH ST STE D, INDIANAPOLIS, IN 46224-3057
(317) 299-0353
(317) 298-8196
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12012708A
IN
1223P0221X
Pediatric Dentistry
Primary
12012708A
IN
Other
Enumeration date
05/31/2017
Last updated
01/17/2020
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