MEDICARE: DR. FRANK MICHAEL WILEY DDS

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	13367	MO

General Provider Information

NPI Number	:	1316122971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK MICHAEL WILEY DDS

Provider Business Mailing Address
First Line	:	819 E MAIN
Second Line	:
City	:	PARK HILLS
State	:	MO
Zip	:	63601-2715
Country	:	US
Telephone Number	:	573-431-6021
Fax Number	:	573-431-9621

Provider Business Practice Location Address
First Line	:	819 E MAIN
Second Line	:
City	:	PARK HILLS
State	:	MO
Zip	:	63601-2715
Country	:	US
Telephone Number	:	573-431-6021
Fax Number	:	573-431-9621

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

Provider Enumeration Date	:	01/02/2008
Last Update Date	:	01/02/2008

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