| Kyle W. Wheeler, DDS, PC | |
|
1084 Thomas Jefferson Rd Suite 5 Forest VA 24551-2298 | |
| (434) 385-6398 | |
| (434) 385-6847 |
| Full Name | Kyle W. Wheeler, DDS, PC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1084 Thomas Jefferson Rd, Forest, Virginia |
| Authorized Official Name and Position | Kyle W. Wheeler (PRESIDENT) |
| Authorized Official Contact | 4343856398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle W. Wheeler, DDS, PC 1084 Thomas Jefferson Rd Suite 5 Forest VA 24551-2298 Ph: (434) 385-6398 | Kyle W. Wheeler, DDS, PC 1084 Thomas Jefferson Rd Suite 5 Forest VA 24551-2298 Ph: (434) 385-6398 |
| NPI Number | 1548699341 |
|---|---|
| Provider Enumeration Date | 11/02/2013 |
| Last Update Date | 11/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548699341 | NPI | - | NPPES |
| 7813562 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401005293 (Virginia) | Primary |
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