Provider Demographics
NPI:1063437960
Name:WILHELMS, THOMAS LEONARD (DDS)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:LEONARD
Last Name:WILHELMS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 N THOMPSON RD
Mailing Address - Street 2:
Mailing Address - City:SUN PRAIRIE
Mailing Address - State:WI
Mailing Address - Zip Code:53590-4014
Mailing Address - Country:US
Mailing Address - Phone:608-837-7394
Mailing Address - Fax:608-825-3324
Practice Address - Street 1:601 N THOMPSON RD
Practice Address - Street 2:
Practice Address - City:SUN PRAIRIE
Practice Address - State:WI
Practice Address - Zip Code:53590-4014
Practice Address - Country:US
Practice Address - Phone:608-837-7394
Practice Address - Fax:608-825-3324
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI54491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice