Individual
DR. JOSEPH M WHITESIDES
Active
Individual
DR. JOSEPH M WHITESIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
24121
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN18814
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
454958919
OFFICE ENI
FL
Enumeration date
07/17/2008
Last updated
12/11/2020
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