Organization
WHITAKER FAMILY DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN G WHITAKER III (OWNER/ DENTIST)
(478) 825-2001
Entity
Organization
Contact information
Practice address
906 ORANGE ST, FORT VALLEY, GA 31030-3456
(478) 825-2001
Mailing address
906 ORANGE ST, FORT VALLEY, GA 31030-3456
(478) 825-2001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10256
GA
Other
Enumeration date
01/22/2009
Last updated
07/08/2021
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