Organization
THE DENTIST OFFICE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHONDA HARRIS WHITFIELD DMD (PRESIDENT)
(606) 433-0033
Entity
Organization
Contact information
Practice address
1144 S MAYO TRAIL, SUITE 101, PIKEVILLE, KY 41501
(606) 433-0033
(606) 433-0990
Mailing address
1144 S MAYO TRAIL, SUITE 101, PIKEVILLE, KY 41501
(606) 433-0033
(606) 433-0990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61900312
—
KY
Enumeration date
12/05/2006
Last updated
08/22/2020
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