| 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 | Brent Whittaker DDS LLC 1677 Marion Mount Gilead Rd Ste 300 Marion OH 43302-5913 Ph: (614) 725-7816 |
| NPI Number | 1124753389 |
|---|---|
| Provider Enumeration Date | 07/21/2022 |
| Last Update Date | 07/21/2022 |
| Certification Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124753389 | NPI | - | NPPES |
| 1356901714 | Other | OH | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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