Individual
JAIMIE WHYTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
206 GAMBLE DR STE C, LINCOLNTON, NC 28092-4439
(704) 735-7145
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
17048741904
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10343
NC
Other
Enumeration date
06/28/2016
Last updated
09/20/2017
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