MEDICARE: DR. MONICA SANGSTER WHEELER D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	9518	TN
2	1223G0001X	General Practice Dentistry	9683	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104171883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MONICA SANGSTER WHEELER D.D.S.

Provider Business Mailing Address
First Line	:	128 PEPPERWOOD WAY
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27703-0318
Country	:	US
Telephone Number	:	504-296-4748
Fax Number	:

Provider Business Practice Location Address
First Line	:	3101 EDWARDS MILL RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27612-5303
Country	:	US
Telephone Number	:	919-914-9607
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2012
Last Update Date	:	12/07/2021

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