Brent Whittaker Dds Llc | |
1677 Marion Mount Gilead Rd Ste 300 Marion OH 43302-5913 | |
(614) 725-7816 | |
Not Available |
Full Name | Brent Whittaker Dds Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 1677 Marion Mount Gilead Rd Ste 300, Marion, Ohio |
Authorized Official Name and Position | Brent Whittaker (OWNER) |
Authorized Official Contact | 6147257816 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brent Whittaker Dds Llc 1677 Marion Mount Gilead Rd Ste 300 Marion OH 43302-5913 Ph: () - | Brent Whittaker Dds Llc 1677 Marion Mount Gilead Rd Ste 300 Marion OH 43302-5913 Ph: (614) 725-7816 |
NPI Number | 1124753389 |
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Provider Enumeration Date | 07/21/2022 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124753389 | NPI | - | NPPES |
1356901714 | Other | OH | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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