Individual
DR. DORIS JEANETTE WHATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MSD
Contact information
Practice address
126 BROOKRIDGE DR, MADISON, AL 35758-7745
(256) 724-3120
Mailing address
126 BROOKRIDGE DR, MADISON, AL 35758-7745
(256) 724-3120
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
5709
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063726040
—
AL
Enumeration date
08/02/2010
Last updated
04/19/2022
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