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Organization

DANIEL WHITLEY III DDS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL WHITLEY III DDS (PRESIDENT)
(910) 353-4242
Entity
Organization

Contact information

Practice address
200 DOCTORS DR STE F, JACKSONVILLE, NC 28546-6308
(910) 353-4242
(910) 577-6421
Mailing address
200 DOCTORS DR STE F, JACKSONVILLE, NC 28546-6308
(910) 353-4242
(910) 577-6421

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
10/02/2017
Last updated
07/21/2022
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