Individual
DR. BARON VICTOR WHATELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
152 DIVISION ST, COLDWATER, MI 49036-1965
(517) 278-7900
(517) 278-7953
Mailing address
152 DIVISION ST, COLDWATER, MI 49036-1965
(517) 278-7900
(517) 278-7953
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
12007960
IN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901011155
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000204351
INDIANA BCBS PROVIDOR #
IN
05
—
100314820
—
IN
Enumeration date
08/13/2006
Last updated
06/24/2021
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