Provider Demographics
NPI:1467028266
Name:QUIRK AND WHEELER ORTHODONTICS PLLC
Entity Type:Organization
Organization Name:QUIRK AND WHEELER ORTHODONTICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DALE
Authorized Official - Middle Name:
Authorized Official - Last Name:WHEELER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:931-456-4569
Mailing Address - Street 1:80 PARKSIDE PL
Mailing Address - Street 2:
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38555-8865
Mailing Address - Country:US
Mailing Address - Phone:931-456-4569
Mailing Address - Fax:931-456-8832
Practice Address - Street 1:80 PARKSIDE PL
Practice Address - Street 2:
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38555-8865
Practice Address - Country:US
Practice Address - Phone:931-456-4569
Practice Address - Fax:931-456-8832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty