| John F Whitt Jr Dds Pa | |
|
121 Griffin View Dr Lake Lake FL 32159 | |
| (352) 259-3636 | |
| (352) 259-2447 |
| Full Name | John F Whitt Jr Dds Pa |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 121 Griffin View Dr, Lake Lake, Florida |
| Authorized Official Name and Position | John F Whitt (PRESIDENT) |
| Authorized Official Contact | 3522593636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John F Whitt Jr Dds Pa 121 Griffin View Dr Lake Lake FL 32159 Ph: (352) 259-3636 | John F Whitt Jr Dds Pa 121 Griffin View Dr Lake Lake FL 32159 Ph: (352) 259-3636 |
| NPI Number | 1699880294 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699880294 | NPI | - | NPPES |
| 69973 | Other | FL | BCBS |
| 872808 | Other | FL | DELTA CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DN0009355 (Florida) | Primary |