Whoolery Dentistry, P.C.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D9505 Issued in MN

Legal business name

WHOOLERY DENTISTRY, P.C.

Practice address

219 E Lincoln Ave
Fergus Falls, MN 56537-2236

Phone

(218) 739-2217

Fax

(218) 739-2443

NPI assigned

Oct 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stephen Paul Whoolery, D.D.S.NPI 1164747812

Title

President

Phone

(218) 739-2217

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Paul Whoolery, D.D.S.

  • Pediatric Dentistry
  • Fergus Falls, MN
  • NPI 1164747812
  NPD (past) Authorized official
• Michael Todd Steinmetz, DDS

  • Pediatric Dentistry
  • Fergus Falls, MN
  • NPI 1447696521
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1396833554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 E LINCOLN AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372236",
            "telephone_number": "218-739-2217",
            "fax_number": "218-739-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E LINCOLN AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372236",
            "telephone_number": "218-739-2217",
            "fax_number": "218-739-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOOLERY DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "WHOOLERY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-739-2217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MN",
            "license": "D9505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "954220500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Allen Wendland, D.P.T
• West Ottertail Transportation
• Samantha West
• Linda Kay Westby, RN, PHN, LSN
• Westgate Properties LLC
• Stephen Paul Whoolery, D.D.S.
• Samantha Wick
• Randi Nikkoline Wicklund, DNP, FNP-C, CNP
• Randa Jean Wik
• Kailee Willaims

• All providers in Fergus Falls, MN
• Pediatric Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.