Individual
DR. ROBERT DARRELL WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
5279 LINCOLN HWY, GAP, PA 17527-9427
(717) 442-9537
(717) 442-8311
Mailing address
583 CRICKET LN, DOWNINGTOWN, PA 19335-4838
(610) 458-2409
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS021989L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026811000
KEYSTONE EAST
PA
01
—
01684301
CAPITAL BLUE CROSS BLUE
PA
01
—
048271
AMERIHEALTH
PA
01
—
2199521
AETNA HEALTHCARE
PA
Enumeration date
09/26/2006
Last updated
07/08/2007
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