| W.r. Whitlow, D.d.s., Pa | |
|
1919 N Maize Rd Ste 200 Wichita KS 67212-5203 | |
| (316) 721-4890 | |
| (316) 721-1529 |
| Full Name | W.r. Whitlow, D.d.s., Pa |
|---|---|
| Speciality | Dentist |
| Location | 1919 N Maize Rd Ste 200, Wichita, Kansas |
| Authorized Official Name and Position | William R Whitlow (PRESIDENT) |
| Authorized Official Contact | 6206631141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| W.r. Whitlow, D.d.s., Pa 2301 N Waldron St Hutchinson KS 67502-1133 Ph: (620) 663-1141 | W.r. Whitlow, D.d.s., Pa 1919 N Maize Rd Ste 200 Wichita KS 67212-5203 Ph: (316) 721-4890 |
| NPI Number | 1265530927 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/13/2007 |
| Medicare PECOS PAC ID | 6002854205 |
|---|---|
| Medicare Enrollment ID | O20050419000712 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265530927 | NPI | - | NPPES |
| 022839 | Other | KS | BLUE CROSS & BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 6423 (Kansas) | Primary |
| Provider Name | William R Whitlow |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1316968035 PECOS PAC ID: 6608814603 Enrollment ID: I20050420000856 |
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