Organization
G. PHILIP WHITESIDE DMD, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. G. PHILIP WHITESIDE DMD (PRESIDENT)
(270) 651-6471
Entity
Organization
Contact information
Practice address
400 E MAIN ST, GLASGOW, KY 42141-2842
(270) 651-6471
(270) 651-6454
Mailing address
400 E MAIN ST, GLASGOW, KY 42141-2842
(270) 651-6471
(270) 651-6454
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
075651
KY
Other
Enumeration date
10/16/2006
Last updated
08/22/2020
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