Individual
JUSTIN A WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
501 S PRESTON ST, LOUISVILLE, KY 40202
(502) 852-5128
Mailing address
7211 E ORCHARD GRASS BLVD, CRESTWOOD, KY 40014-8561
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12012601A
IN
122300000X
Dentist
Primary
9833
KY
Other
Enumeration date
08/16/2011
Last updated
03/07/2019
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