Healthcare Provider Details

I. General information

NPI: 1902711583
Provider Name (Legal Business Name): R.W. EHLERS D.M.D., P.L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91 AIRLIE PLACE LN
WILLOW SPRING NC
27592-4410
US

IV. Provider business mailing address

91 AIRLIE PLACE LN
WILLOW SPRING NC
27592-4410
US

V. Phone/Fax

Practice location:
  • Phone: 919-278-7057
  • Fax:
Mailing address:
  • Phone: 919-278-7057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROBERT EHLERS
Title or Position: MEMBER, OWNER
Credential: DMD
Phone: 919-980-2396