| James A Whitley, Dds Pa | |
|
309 W Millbrook Rd Suite 181 Raleigh NC 27609-4385 | |
| (919) 789-0400 | |
| (919) 789-0440 |
| Full Name | James A Whitley, Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 309 W Millbrook Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | James Arthur Whitley (PRESIDENT) |
| Authorized Official Contact | 9197890400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James A Whitley, Dds Pa 309 W Millbrook Rd Suite 181 Raleigh NC 27609-4385 Ph: (919) 789-0400 | James A Whitley, Dds Pa 309 W Millbrook Rd Suite 181 Raleigh NC 27609-4385 Ph: (919) 789-0400 |
| NPI Number | 1982633848 |
|---|---|
| Provider Enumeration Date | 07/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982633848 | NPI | - | NPPES |
| 5430 | Other | NC | STATE LICENSE NUMBER |
| 99245 | Other | NC | BCBSNC IDENTIFIER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | NC 5430 (North Carolina) | Primary |
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