Provider Demographics
NPI:1720230956
Name:WHEELES, HILARY FRANCIS (DDS)
Entity Type:Individual
Prefix:
First Name:HILARY
Middle Name:FRANCIS
Last Name:WHEELES
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 1:2616 GEORGE BUSBEE PKWY NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-4939
Mailing Address - Country:US
Mailing Address - Phone:404-381-1480
Mailing Address - Fax:
Practice Address - Street 1:2616 GEORGE BUSBEE PKWY NW
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-4939
Practice Address - Country:US
Practice Address - Phone:404-381-1480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8704122300000X
GADN015431122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist