# GEORGE M. WHITEHEAD D.D.S., PS

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

## Provider details

- **NPI number:** 1295032969
- **Authorized official:** CHONG WHITEHEAD (OFFICER)
- **Authorized official phone:** (360) 533-2726

## Contact information

- **Practice address:** 222 EAST FIRST STREET, SUITE B, ABERDEEN, WA 98520
- **Practice address phone:** (360) 533-2726
- **Practice address fax:** (360) 532-9915
- **Mailing address:** 222 EAST FIRST STREET, SUITE B, ABERDEEN, WA 98520
- **Mailing address phone:** (360) 533-2726
- **Mailing address fax:** (360) 532-9915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5204 | WA | Yes |

## Other

- **Enumeration date:** 02/16/2011
- **Last updated:** 02/16/2011