Individual
DR. MARK BLYTHE WHALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
205 WARD CIR STE 2, BRENTWOOD, TN 37027-7552
(615) 373-4242
(615) 373-4566
Mailing address
205 WARD CIR STE 2, BRENTWOOD, TN 37027-7552
(615) 373-4242
(615) 373-4566
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS0000007181
TN
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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