DR. DILLON T WILEY (NPI# 1790213098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790213098 |
| Entity Type | Individual |
| Full Name | DR. DILLON T WILEY |
| Credential | DDS, MSD |
| Practice Address |
6211 W 30th St Ste D Indianapolis IN 46224-3057 |
| Practice Telephone | 3172990353 |
| Practice Fax Number | 3172988196 |
| Mailing Telephone | 3172990353 |
| Mailing Fax Number | 3172988196 |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2020-01-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
12012708A | IN | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
12012708A | IN | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 705 Riley Hospital Dr Ste 4205, Indianapolis, IN 46202 | 3179484238 | 3179480760 |
| Street Address |
6211 W 30TH ST STE D |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46224-3057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902457039 | Wiley Pediatric Dentistry, LLC | Dentist | 6211 W 30th St Ste D, Indianapolis, IN 46224-3057 | 2019-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679050033 | O&a Homecare Services, LLC | Home Health Aide | 2307 Hermitage Ct Apt 709, Indianapolis, IN 46224 | 2018-07-27 |
| 1760976039 | Felecia Shelby | Home Health | 1850 Foyt Drive Apt D, Indianapolis, IN 46224 | 2018-06-19 |
| 1154832020 | Wendy A Booker | Nurse Practitioner | 1011 Main St Ste 140, Indianapolis, IN 46224 | 2017-10-19 |
| 1720439516 | Adam Kyle Craig | Counselor | 5610 Crawfordsville Rd., Suite 2201, Indianapolis, IN 46224 | 2016-06-23 |
| 1407223506 | Gouri Chitalapudi | Physical Therapist | 819 Auburn Hill Dr Apt C, Indianapolis, IN 46224 | 2015-08-25 |
| 1710266770 | Starr Angeline Song | Contractor | 2819 Embassy Row, 819, Indianapolis, IN 46224 | 2011-08-09 |
| 1699075739 | Accuquest Hearing Centers, LLC | Clinic/Center | 5620 Crawfordsville Road, Suite Q, Speedway, IN 46224 | 2010-10-22 |
| 1659549962 | Guy Elliot Lovell Sr. | Social Worker | 25 Beachway Drive, Suite C, Indianapolis, IN 46224 | 2008-02-20 |
| 1316128614 | Indianapolis Independent Pediatricians, P.C. | Pediatrics | 777 Beachway Drive, Suite 210, Indianapolis, IN 46224 | 2007-11-15 |
| 1568673119 | Speedway Optical | Eyewear Supplier (Equipment, not the service) | 1602 Cunningham Dr, Indianapolis, IN 46224 | 2007-05-25 |
| Find all providers in zip 46224 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194245225 | Sara Gholam | Dentist | 1121 W Michigan St Rm 280b, Indianapolis, IN 46202 | 2017-06-20 |
| 1629443544 | Allison C Scully | Dentist | 1121 W Michigan Street Ds307b, Indianapolis, IN 46202-5186 | 2015-12-03 |
| 1346535010 | Scott D. Papineau | Dentist | 7725 S Emerson Ave, Indianapolis, IN 46237-8654 | 2011-06-10 |
| 1376837070 | Steele Pediatric Dentistry LLC | Dentist | 4509 Northeastern Ave, Indianapolis, IN 46239-1660 | 2011-05-31 |
| 1124151592 | Judith Renee Chin | Dentist | 1121 W Michigan St # Ds220, Indiana University School of Dentistry, Indianapolis, IN 46202-5211 | 2007-03-14 |
| 1437280526 | David Scott Morgan | Dentist | 8802 N Meridian St, Suite 101, Indianapolis, IN 46260-5318 | 2007-03-08 |
| 1700949724 | Sandersweddellpediatric Dentalspecialist | Dentist | 860 East 86th Street, Suite1, Indianapolis, IN 46240-6859 | 2006-12-19 |
| 1952477846 | Annette Tepner Farthing | Dentist | 7725 S Emerson Avenue, Indianapolis, IN 46237-8654 | 2006-11-24 |
| 1881769602 | James A. Weddell Dds,msd,pc | Dentist | 3737 North Meridian, Suite 100, Indianapolis, IN 46208-4357 | 2006-11-21 |
| 1811062664 | Kelli R Lucia | Dentist | 3737 North Meridian Street, Suite 100, Indianapolis, IN 46208-4357 | 2006-11-21 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46224 |
Please comment or provide details below to improve the information on DR. DILLON T WILEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.