# JOE BILL WHITLEY DDS INC

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

## Provider details

- **NPI number:** 1982863874
- **Authorized official:** DR. JOE BILL WHITLEY DDS (DENTIST OWNER)
- **Authorized official phone:** (210) 224-4026

## Contact information

- **Practice address:** 2206 EAST COMMERCE, SAN ANTONIO, TX 78203
- **Practice address phone:** (210) 224-4026
- **Practice address fax:** (210) 224-0075
- **Mailing address:** 2206 EAST COMMERCE, SAN ANTONIO, TX 78203
- **Mailing address phone:** (210) 224-4026
- **Mailing address fax:** (210) 224-0075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12325 | TX | — |
| 122300000X | Dentist | 6593 | TX | Yes |

## Other

- **Enumeration date:** 06/05/2008
- **Last updated:** 06/05/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 120877902 | — | TX |