Individual
DR. JACOB WILLHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
1320 W BLOOMFIELD RD STE B, BLOOMINGTON, IN 47403-2001
(812) 287-8851
Mailing address
905 S COLLEGE MALL RD, BLOOMINGTON, IN 47401-6302
(812) 287-8851
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12013399A
IN
Other
Enumeration date
06/08/2022
Last updated
12/12/2024
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