Dr. John Philip Wahle III, DMD
Dentist, Orthodontics and Dentofacial Orthopedics in Lexington, KY. Individual provider (NPI-1).
NPI number1184750010
StatusActive
Last updated in NPPESJan 20, 2015
Details
- NPI
- 1184750010
- Entity type
- Individual (NPI-1)
- Name
- Dr. John Philip Wahle III
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 26, 2007
- Last updated
- Jan 20, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 6476 | KY | Yes |
| 122300000X | Dentist | 6476 | KY |
Practice location
800 Rose St Rm D104University Of Kentucky College Of Dentistry
Lexington, KY 40536-0297
Phone 859-323-5655
Mailing address
800 Rose St Rm D104University Of Kentucky College Of Dentistry
Lexington, KY 40536-0297
Phone 859-323-5655
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