Organization
STUART H. WHIDDON, D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART HALL WHIDDON D.D.S. (PRESIDENT)
(336) 476-1109
Entity
Organization
Contact information
Practice address
1040 RANDOLPH ST, SUITE 19, THOMASVILLE, NC 27360-6383
(336) 476-1109
(336) 476-1101
Mailing address
1040 RANDOLPH ST, SUITE 19, THOMASVILLE, NC 27360-6383
(336) 476-1109
(336) 476-1101
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4824
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
899203
—
NC
Enumeration date
07/22/2006
Last updated
09/07/2012
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