# JAMES A WHITLEY, DDS PA

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

## Provider details

- **NPI number:** 1982633848
- **Authorized official:** DR. JAMES ARTHUR WHITLEY JR. DDS (PRESIDENT)
- **Authorized official phone:** (919) 789-0400

## Contact information

- **Practice address:** 309 W MILLBROOK RD, SUITE 181, RALEIGH, NC 27609-4385
- **Practice address phone:** (919) 789-0400
- **Practice address fax:** (919) 789-0440
- **Mailing address:** 309 W MILLBROOK RD, SUITE 181, RALEIGH, NC 27609-4385
- **Mailing address phone:** (919) 789-0400
- **Mailing address fax:** (919) 789-0440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | NC 5430 | NC | Yes |

## Other

- **Enumeration date:** 07/02/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5430 | STATE LICENSE NUMBER | NC |
| 01 | — | 99245 | BCBSNC IDENTIFIER | NC |