# G. PHILIP WHITESIDE DMD, PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093895864
- **Authorized official:** DR. G. PHILIP WHITESIDE DMD (PRESIDENT)
- **Authorized official phone:** (270) 651-6471

## Contact information

- **Practice address:** 400 E MAIN ST, GLASGOW, KY 42141-2842
- **Practice address phone:** (270) 651-6471
- **Practice address fax:** (270) 651-6454
- **Mailing address:** 400 E MAIN ST, GLASGOW, KY 42141-2842
- **Mailing address phone:** (270) 651-6471
- **Mailing address fax:** (270) 651-6454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 075651 | KY | Yes |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 08/22/2020