# WHITNEY L DEITZ DMD PLLC

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

## Provider details

- **NPI number:** 1285202598
- **Authorized official:** WHITNEY DEITZ (OWNER)
- **Authorized official phone:** (270) 686-1636

## Contact information

- **Practice address:** 5035 FREDERICA ST STE 3, OWENSBORO, KY 42301-7515
- **Practice address phone:** (270) 686-1636
- **Mailing address:** PO BOX 70887, CLEVELAND, OH 44190-0887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/14/2021
- **Last updated:** 06/14/2023