| Leland C. Wilhoite,d.d.s.,p.c. | |
|
2623 W Jackson St Muncie IN 47303-4634 | |
| (765) 289-6373 | |
| (765) 289-6375 |
| Full Name | Leland C. Wilhoite,d.d.s.,p.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2623 W Jackson St, Muncie, Indiana |
| Authorized Official Name and Position | Leland Crawford Wilhoite (PRESIDENT) |
| Authorized Official Contact | 7652896373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leland C. Wilhoite,d.d.s.,p.c. 2623 W Jackson St Muncie IN 47303-4634 Ph: (765) 289-6373 | Leland C. Wilhoite,d.d.s.,p.c. 2623 W Jackson St Muncie IN 47303-4634 Ph: (765) 289-6373 |
| NPI Number | 1326202755 |
|---|---|
| Provider Enumeration Date | 07/15/2008 |
| Last Update Date | 07/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326202755 | NPI | - | NPPES |
| 200501540B | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12009897 (Indiana) | Primary |
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