Organization · Type 2 NPI
Tara J Wheeler DMD LLC
Dental Clinic/Center · Loxley, AL
NPI number
1477848596
Active
Practice location
2127 N Hickory St, Suite D
Loxley, AL 36551-2411
Fax (251) 964-2673
Mailing address
520 2nd Ave
Pleasant Grove, AL 35127-1757
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 5751 (AL) |
Dental Clinic/Center: Definition to come...
About NPI 1477848596
Tara J Wheeler DMD LLC's National Provider Identifier is 1477848596, issued on Jun 16, 2011. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Loxley, AL. The record was last updated on Jun 16, 2011.