MEDICARE: WEHR PEDIATRIC DENTISTRY, PLLC

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1417790551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEHR PEDIATRIC DENTISTRY, PLLC

Provider Business Mailing Address
First Line	:	2701 OLD SETTLERS RD
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-4728
Country	:	US
Telephone Number	:	972-724-1617
Fax Number	:

Provider Business Practice Location Address
First Line	:	2701 OLD SETTLERS RD
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-4728
Country	:	US
Telephone Number	:	972-724-1617
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CHELSEA WEHR
Credential	:	DDS
Telephone Number	:	972-724-1617

Provider Enumeration Date	:	06/17/2024
Last Update Date	:	06/17/2024

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