Individual
J D WHITENER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
121 MARBLE MILL RD NW, SUITE 201, MARIETTA, GA 30060-1047
(770) 427-8579
(770) 427-8957
Mailing address
121 MARBLE MILL RD NW, SUITE 201, MARIETTA, GA 30060-1047
(770) 427-8579
(770) 427-8957
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010191
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00305555A
—
GA
Enumeration date
10/04/2006
Last updated
06/09/2015
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