Organization
WILLIAM L WHATLEY D.M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM L WHATLEY JR. D.M.D. (PRESIDENT)
(912) 638-9302
Entity
Organization
Contact information
Practice address
2487 DEMERE RD, SUITE 300, SAINT SIMONS ISLAND, GA 31522-5639
(912) 638-9302
Mailing address
2487 DEMERE RD, SUITE 300, SAINT SIMONS ISLAND, GA 31522-5639
(912) 638-9302
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10831
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00458807A
—
GA
Enumeration date
12/11/2006
Last updated
08/22/2020
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