# W.R. WHITLOW, D.D.S., PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** W.R. WHITLOW, D.D.S., PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265530927
- **Legal business name:** W.R. WHITLOW, D.D.S., PA
- **Authorized official:** DR. WILLIAM R WHITLOW D.D.S. (PRESIDENT)
- **Authorized official phone:** (620) 663-1141

## Contact information

- **Practice address:** 1919 N MAIZE RD STE 200, WICHITA, KS 67212-5203
- **Practice address phone:** (316) 721-4890
- **Practice address fax:** (316) 721-1529
- **Mailing address:** 2301 N WALDRON ST, HUTCHINSON, KS 67502-1133
- **Mailing address phone:** (620) 663-1141
- **Mailing address fax:** (620) 663-1373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 6423 | KS | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 08/13/2007
