| Jack A. Whittaker D.d.s., Inc. | |
|
960 W Wooster St Suite 201 Bowling Green OH 43402-2644 | |
| (419) 352-3527 | |
| (419) 352-6122 |
| Full Name | Jack A. Whittaker D.d.s., Inc. |
|---|---|
| Speciality | Dentist |
| Location | 960 W Wooster St, Bowling Green, Ohio |
| Authorized Official Name and Position | Jack Allen Whittaker (PEDIATRIC DENTIST) |
| Authorized Official Contact | 4193523527 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack A. Whittaker D.d.s., Inc. 960 W Wooster St Suite 201 Bowling Green OH 43402-2644 Ph: (419) 352-3527 | Jack A. Whittaker D.d.s., Inc. 960 W Wooster St Suite 201 Bowling Green OH 43402-2644 Ph: (419) 352-3527 |
| NPI Number | 1851564579 |
|---|---|
| Provider Enumeration Date | 04/03/2008 |
| Last Update Date | 04/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851564579 | NPI | - | NPPES |
| 0017332 | Medicaid | OH | |
| 7073 | Other | OH | DORAL DENTAL SERVICES |
| 01928 | Other | OH | PARAMOUNT ADVANTAGE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30 012369 (Ohio) | Primary |
Nathan M Downey Dds, Ms, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 735 Haskins Rd, Suite C, Bowling Green, OH 43402 Phone: 419-352-8453 Fax: 419-353-3309 | |
Reynolds Corners Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 990 W Poe Rd, Bowling Green, OH 43402 Phone: 419-536-7265 | |
Bowling Green Pediatric Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1221 Ridgewood Dr, Suite B, Bowling Green, OH 43402 Phone: 419-352-2593 Fax: 419-354-4717 | |
Bowling Green Pediatric Dental Group Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1221 Ridgewood Drive, Suite B, Bowling Green, OH 43402 Phone: 419-352-2593 Fax: 419-354-4717 | |
Ohio Dental Associates--judge Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1121 S Main St, Bowling Green, OH 43402 Phone: 419-353-3686 | |
Kaiser Family Dentistry, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1064 W Wooster St, Bowling Green, OH 43402 Phone: 419-352-4661 Fax: 419-352-4944 |