Provider Demographics
NPI:1356443907
Name:WHEELER, MONTE ALAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:MONTE
Middle Name:ALAN
Last Name:WHEELER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7247 BROOKLYN AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762-0886
Mailing Address - Country:US
Mailing Address - Phone:479-756-9996
Mailing Address - Fax:479-756-0050
Practice Address - Street 1:7247 BROOKLYN AVE
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762-0886
Practice Address - Country:US
Practice Address - Phone:479-756-9996
Practice Address - Fax:479-756-0050
Is Sole Proprietor?:No
Enumeration Date:2006-09-03
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR31151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice