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Organization

J FRANKLIN WHIPPS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN FRANKLIN WHIPPS DMD (OWNER PRESIDENT)
(618) 532-1821
Entity
Organization

Contact information

Practice address
1020 JONAS STREET, CENTRALIA, IL 62801
(618) 532-1821
(618) 532-1915
Mailing address
1020 JONAS STREET, CENTRALIA, IL 62801
(618) 532-1821
(618) 532-1915

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019013703DENTIST
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
021000787ORTHODONTIS
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1004783
DORAL
IL
01
789671
UNITED CONCORDIA
IL
Enumeration date
04/24/2008
Last updated
04/24/2008
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