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Organization
STUART H. WHIDDON, D.D.S., P.A.
Active
Organization
STUART H. WHIDDON, D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART HALL WHIDDON D.D.S. (PRESIDENT)
(336) 476-1109
Entity
Organization
Contact information
Practice address
1040 RANDOLPH ST, SUITE 19, THOMASVILLE, NC 27360-6383
(336) 476-1109
(336) 476-1101
Mailing address
1040 RANDOLPH ST, SUITE 19, THOMASVILLE, NC 27360-6383
(336) 476-1109
(336) 476-1101
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4824
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
899203
—
NC
Enumeration date
07/22/2006
Last updated
09/07/2012
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