Organization
W.R. WHITLOW, D.D.S., PA
Active
Parent organization
W.R. WHITLOW, D.D.S., PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
W.R. WHITLOW, D.D.S., PA
Authorized official
DR. WILLIAM R WHITLOW D.D.S. (PRESIDENT)
(620) 663-1141
Entity
Organization
Contact information
Practice address
1919 N MAIZE RD STE 200, WICHITA, KS 67212-5203
(316) 721-4890
(316) 721-1529
Mailing address
2301 N WALDRON ST, HUTCHINSON, KS 67502-1133
(620) 663-1141
(620) 663-1373
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6423
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022839
BLUE CROSS & BLUE SHIELD
KS
Enumeration date
09/20/2006
Last updated
08/13/2007
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