Provider Demographics
NPI:1417028689
Name:WHEELER, JAMES RICHARD (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:RICHARD
Last Name:WHEELER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2080 W STATE ST
Mailing Address - Street 2:STE #2
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16101-1249
Mailing Address - Country:US
Mailing Address - Phone:723-652-5150
Mailing Address - Fax:724-652-5189
Practice Address - Street 1:2080 W STATE ST
Practice Address - Street 2:STE#2
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101-1249
Practice Address - Country:US
Practice Address - Phone:723-652-5150
Practice Address - Fax:724-652-5189
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS019604L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice