Organization
REBECCA T. WHEELER, DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA T WHEELER (OWNER/DENTIST)
(859) 885-0086
Entity
Organization
Contact information
Practice address
106 FAIRFIELD DR, NICHOLASVILLE, KY 40356-8842
(859) 885-0086
(859) 885-1290
Mailing address
106 FAIRFIELD DR, NICHOLASVILLE, KY 40356-8842
(859) 885-0086
(859) 885-1290
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6755
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60000601
—
KY
Enumeration date
06/25/2012
Last updated
06/25/2012
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