Individual
DR. TIMOTHY WAYNE WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1602 WESTEN ST, BOWLING GREEN, KY 42104-4156
(270) 781-1706
(270) 781-2338
Mailing address
109 TALBOTT DR, BOWLING GREEN, KY 42103-1369
(270) 843-6314
(270) 843-6314
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4903
KY
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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