Organization
JOHN F WHITT JR DDS PA
Active
Other names
Nature Coast Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN F WHITT JR. DDS (PRESIDENT)
(352) 259-3636
Entity
Organization
Contact information
Practice address
121 GRIFFIN VIEW DR, LAKE LAKE, FL 32159
(352) 259-3636
(352) 259-2447
Mailing address
121 GRIFFIN VIEW DR, LAKE LAKE, FL 32159
(352) 259-3636
(352) 259-2447
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN0009355
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
69973
BCBS
FL
01
—
872808
DELTA CARE
FL
Enumeration date
08/21/2006
Last updated
08/22/2020
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