NPI 1053471961

Robert Thomas Wheatley

Practitioner General Practice Dentistry Saint Charles, MO

Practice location

Address: 1360 S 5th St STE 270, Saint Charles, MO 63301
Phone: (636) 940-2543
Fax: (636) 947-6080
Mailing address: 1360 S 5th St STE 270, Saint Charles, MO 63301-2446

Registered specialties (4)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 019022027 (IL)

Other Dentist providers in Missouri →

Dentist

Dental Providers Taxonomy 122300000X Licence 019022027 (IL)

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence 014347 (MO)

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X Licence 014347 (MO)

Other Durable Medical Equipment & Medical Supplies providers in Missouri →

Registry record

NPI: 1053471961
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Dec 2006
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.