Provider Demographics
NPI:1649533605
Name:WHEELEY, AMRITA (DMD)
Entity type:Individual
Prefix:
First Name:AMRITA
Middle Name:
Last Name:WHEELEY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:AMRITA
Other - Middle Name:
Other - Last Name:MARAJH - SELZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2938 WEST BAY DR C
Mailing Address - Street 2:
Mailing Address - City:BELLEAIR BLUFFS
Mailing Address - State:FL
Mailing Address - Zip Code:33770-2636
Mailing Address - Country:US
Mailing Address - Phone:727-584-5548
Mailing Address - Fax:
Practice Address - Street 1:400 CARILLON PKWY STE 120
Practice Address - Street 2:CASTILLE BUILDING
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33716-1290
Practice Address - Country:US
Practice Address - Phone:727-299-0728
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-24
Last Update Date:2017-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN19801122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist