Dr. Scott Clayton Wheadon
Dental Public Health
13975 Mono Way Suite I Mact Indian Dental Clinic
Sonora
, California 95370-2824
Dr. Scott Clayton Wheadon
Dental Public Health
13975 Mono Way Suite I Mact Indian Dental Clinic
Sonora
, California 95370-2824
(209) 736-1814
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Dr. Scott Clayton Wheadon
- Po Box 939 Mact Health Board Inc
- Angels Camp, CA
- Zip : 95222
- Fax : (209) 736-1814
- Phone : (209) 754-6262
Second Address
- Dr. Scott Clayton Wheadon
- 13975 Mono Way Suite I Mact Indian Dental Clinic
- Sonora, CA
- Zip : 95370-2824
- Fax : (209) 533-9604
- Phone : (209) 533-9603
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | 34440 | CA |
National Provider Identifier
| NPI | 1538189683 |
|---|---|
| Provider Name | Dr. Scott Clayton Wheadon |
| First Address | Angels Camp, CA 95222 |
| Second Address | Sonora, CA 95370-2824 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2006 |
| Last Update Date | 13/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.