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Stephen Paul Whoolery, DDS
Pediatric Dentist in Fergus Falls, Minnesota
NPI 1164747812

Stephen Paul Whoolery is a Pediatric Dentist based in Fergus Falls, MN and is specialized in Pediatric Dentistry. Stephen Paul Whoolery practices in Fergus Falls, MN and has the professional credentials of DDS. The NPI Number for Stephen Paul Whoolery is 1164747812 and holds a License No. D9505 (Minnesota).

The current practice location address for Stephen Paul Whoolery is 219 E Lincoln Ave, Fergus Falls, MN and can be reached out via phone at 218-739-2217 and via fax at 218-739-2443.

Location: 219 E Lincoln Ave, Fergus Falls, MN, 56537-2236
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164747812
Provider Name
Stephen Paul Whoolery
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
219 E Lincoln Ave, Fergus Falls, MN, 56537-2236
Phone Number
218-739-2217
Fax Number
218-739-2443
Provider Enumeration Date
04/06/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
954220500 05 MN
institution
Provider Business Practice Location Address Details
Address
219 E Lincoln Ave
City
Fergus Falls
State
Minnesota
Zip
56537-2236
Phone Number
218-739-2217
Fax Number
218-739-2443
person
Provider Business Mailing Address Details
Address
219 E Lincoln Ave
City
Fergus Falls
State
Minnesota
Zip
56537-2236
Phone Number
218-739-2217
Fax Number
218-739-2443
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
D9505 (Minnesota)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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