STEPHEN PAUL WHOOLERY D.D.S. NPI 1164747812

NPI Information

  • NPI: 1164747812
  • Provider Name: STEPHEN PAUL WHOOLERY, D.D.S.
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: 219 E LINCOLN AVE
    FERGUS FALLS, MN
    ZIP 56537
  • Phone: (218) 739-2217

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NPI Details

Stephen Paul Whoolery, D.D.S. is a pediatric dentistry dentist in Fergus Falls, MN. The provider is 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. Stephen Paul Whoolery, D.D.S. NPI is 1164747812. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

219 E LINCOLN AVE
FERGUS FALLS, MN
ZIP 56537-236
Phone: (218) 739-2217
Fax: (218) 739-2443

The enumeration date for this NPI number is 4/6/2010 and was last updated on 5/29/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric DentistryD9505MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1954220500MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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