Provider Demographics
NPI:1780950311
Name:WHEELER-HALL, TAMEIKA DENISE (DMD)
Entity type:Individual
Prefix:MS
First Name:TAMEIKA
Middle Name:DENISE
Last Name:WHEELER-HALL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:TAMEIKA
Other - Middle Name:
Other - Last Name:WHEELER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:1260 HIGHWAY 54 W STE 201
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-4513
Mailing Address - Country:US
Mailing Address - Phone:770-460-1527
Mailing Address - Fax:
Practice Address - Street 1:1260 HIGHWAY 54 W STE 201
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-4513
Practice Address - Country:US
Practice Address - Phone:770-460-1527
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-28
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0144371223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics