BRAD WHEELIS FAMILY DENTISTRY PLLC – NPI #1275143950
Clinic/Center

BRAD WHEELIS FAMILY DENTISTRY PLLC is an AHC clinic located in MELBOURNE, AR. NPPES has assigned the NPI number 1275143950 to BRAD WHEELIS FAMILY DENTISTRY PLLC on August 06, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRAD WHEELIS FAMILY DENTISTRY PLLC below.

NPI Profile for
BRAD WHEELIS FAMILY DENTISTRY PLLC

NPI Number
1275143950
Enumeration Date

(about 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BRAD WHEELIS FAMILY DENTISTRY PLLC
Primary location
1218 EAST MAIN ST
MELBOURNE, AR 72556
Phone: (870) 368-5551 Fax: (870) 368-5554
Mailing address
PO BOX 1074
MELBOURNE, AR 72556-1074
Phone: (870) 368-5551 Fax: (870) 368-5554
Organization Subpart
No
Authorized Official
BRAD WHEELIS
OWNER
Phone: (870) 368-5551
Updated
Certification Date
Aug 06, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.