| Danny L Whiting Dds Pc | |
|
2910 Hamilton Blvd Ste. 102 Sioux City IA 51104-2423 | |
| (712) 258-5057 | |
| (712) 258-7963 |
| Full Name | Danny L Whiting Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 2910 Hamilton Blvd, Sioux City, Iowa |
| Authorized Official Name and Position | Danny Lavern Whiting (PRESIDENT OWNER) |
| Authorized Official Contact | 7122585057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Danny L Whiting Dds Pc 2910 Hamilton Blvd Ste. 102 Sioux City IA 51104-2423 Ph: (712) 258-5057 | Danny L Whiting Dds Pc 2910 Hamilton Blvd Ste. 102 Sioux City IA 51104-2423 Ph: (712) 258-5057 |
| NPI Number | 1376615609 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376615609 | NPI | - | NPPES |
| 01119156 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5870 (Iowa) | Primary |
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