Provider Demographics
NPI:1962666289
Name:WHEELER, MEGHAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:
Last Name:WHEELER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3352 BROWN RD
Mailing Address - Street 2:
Mailing Address - City:CALEDONIA
Mailing Address - State:NY
Mailing Address - Zip Code:14423-9534
Mailing Address - Country:US
Mailing Address - Phone:585-538-4500
Mailing Address - Fax:585-538-9565
Practice Address - Street 1:3352 BROWN RD
Practice Address - Street 2:
Practice Address - City:CALEDONIA
Practice Address - State:NY
Practice Address - Zip Code:14423-9534
Practice Address - Country:US
Practice Address - Phone:585-538-4500
Practice Address - Fax:585-538-9565
Is Sole Proprietor?:No
Enumeration Date:2008-07-16
Last Update Date:2009-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0543881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice