Leland C. Wilhoite, D.D.S., P.C.
Organization Active NPI General Practice Dentistry · Sulphur Springs, IN
NPI 1275797516 · NPPES record last updated Jul 16, 2008
Key facts
- NPI
- 1275797516
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12009897 (IN)
- Legal business name
- LELAND C. WILHOITE, D.D.S., P.C.
- Practice address
- 102 W. Main St.
Sulphur Springs, IN 47388-0174 - Phone
- (765) 533-4888
- Fax
- (765) 533-6374
- NPI assigned
- Jul 16, 2008
- Organization subpart
- No
Authorized official
- Name
- Leland Crawford Wilhoite, D.D.S.
- Title
- President
- Phone
- (765) 533-4888
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Leland C Wilhoite DDS PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 12009897 | IN | Yes |
Addresses
Primary practice location
102 W. Main St.
Sulphur Springs, IN 47388-0174
Mailing address
PO Box 174
Sulphur Springs, IN 47388-0174
Phone (765) 533-4888
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200501540A | Medicaid | IN |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.