Whoolery Dentistry, P.C. in Fergus Falls - Pediatric Dentistry
Whoolery Dentistry, P.C. - NPI 1396833554
Whoolery Dentistry, P.C. is a Pediatric Dentistry in Fergus Falls, Minnesota. Whoolery Dentistry, P.C. practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Whoolery Dentistry, P.C. is 1396833554. The last update date is 2014-05-29.
Whoolery Dentistry, P.C.'s current location address is 219 E Lincoln Ave, Fergus Falls, Minnesota. You can contact this provider via phone number 2187392217 and fax number 2187392443. The mailing address for Whoolery Dentistry, P.C. is 219 E Lincoln Ave, Fergus Falls, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Whoolery Dentistry, P.C. |
|---|---|
| Address | 219 E Lincoln Ave, Fergus Falls, Minnesota |
| Phone Number | 2187392217 |
| Fax Number | 2187392443 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Whoolery Paul Stephen |
| Credentials | D.D.S. |
| Telephone Number | 2187392217 |
NPI Number Detail
| NPI Number | 1396833554 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2014-05-29 |
Provider Mailing Address Detail
| Address | 219 E Lincoln Ave |
|---|---|
| City | Fergus Falls |
| State | Minnesota (MN) |
| Post Code | 565372236 |
| Phone Number | 2187392217 |
| Fax Number | 2187392443 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | D9505 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 954220500 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Whoolery Dentistry, P.C. by the Centers for Medicare & Medicaid Services?
The Whoolery Dentistry, P.C. has been issued the NPI (National Provider Identifier) 1396833554 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Whoolery Dentistry, P.C. is located?
The Whoolery Dentistry, P.C. is situated at the following address: 219 E Lincoln Ave, Fergus Falls, MN, 565372236.
What is Whoolery Dentistry, P.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Whoolery Dentistry, P.C.'s area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
On what date did the Whoolery Dentistry, P.C. receive its 1396833554 assignment from the Centers for Medicare & Medicaid Services?
The Whoolery Dentistry, P.C. was assigned its 1396833554 by the Centers for Medicare & Medicaid Services on 2006-10-11.
As of what date were the details related to Whoolery Dentistry, P.C. most recently updated or revised?
The information pertaining to Whoolery Dentistry, P.C., including its address, specialty, and other relevant details, was last updated or revised on 2014-05-29.