# DR. ROBERT WHITFIELD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1194809079
- **Gender:** Man
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4566 | TN | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0015988 | TENNCARE PROVIDER NUMBER | TN |
| 01 | — | 2005782 | BLUE CROSS BLUE SHIELD | TN |