Provider Demographics
NPI:1457038523
Name:WILHELMI, DANIEL NIC (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:NIC
Last Name:WILHELMI
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 1:1406 N US HIGHWAY 71
Mailing Address - Street 2:
Mailing Address - City:CARROLL
Mailing Address - State:IA
Mailing Address - Zip Code:51401-3344
Mailing Address - Country:US
Mailing Address - Phone:515-822-8492
Mailing Address - Fax:
Practice Address - Street 1:1406 N US HIGHWAY 71
Practice Address - Street 2:
Practice Address - City:CARROLL
Practice Address - State:IA
Practice Address - Zip Code:51401-3344
Practice Address - Country:US
Practice Address - Phone:515-822-8492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA101451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice