Provider Demographics
NPI:1497839971
Name:FRANKLIN M. WHEELOCK, DDS, MS, MD, LTD.
Entity type:Organization
Organization Name:FRANKLIN M. WHEELOCK, DDS, MS, MD, LTD.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:WHEELOCK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS, MD
Authorized Official - Phone:540-989-5621
Mailing Address - Street 1:3231 ELECTRIC RD
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-6425
Mailing Address - Country:US
Mailing Address - Phone:540-989-5621
Mailing Address - Fax:540-989-8080
Practice Address - Street 1:3231 ELECTRIC RD
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-6425
Practice Address - Country:US
Practice Address - Phone:540-989-5621
Practice Address - Fax:540-989-8080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA56011223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty