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NPI Code Detail

MEDICARE: DR. NADIA WHEELER DMD

MEDICARE:  DR. NADIA  WHEELER  DMD
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
11223G0001XGeneral Practice Dentistry4553OK

General Provider Information

NPI Number : 1164504635
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NADIA WHEELER DMD
Provider Business Mailing Address
First Line : 2321 E 3RD STREET
Second Line :
City : TULSA
State : OK
Zip : 74104-1831
Country : US
Telephone Number : 918-710-4480
Fax Number : 918-442-2080
Provider Business Practice Location Address
First Line : 2321 E. 3RD ST
Second Line :
City : TULSA
State : OK
Zip : 74104-1831
Country : US
Telephone Number : 918-710-4480
Fax Number : 918-442-2080
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2006
Last Update Date : 05/03/2013

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