Organization
JAMES A WHITLEY, DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ARTHUR WHITLEY JR. DDS (PRESIDENT)
(919) 789-0400
Entity
Organization
Contact information
Practice address
309 W MILLBROOK RD, SUITE 181, RALEIGH, NC 27609-4385
(919) 789-0400
(919) 789-0440
Mailing address
309 W MILLBROOK RD, SUITE 181, RALEIGH, NC 27609-4385
(919) 789-0400
(919) 789-0440
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
NC 5430
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5430
STATE LICENSE NUMBER
NC
01
—
99245
BCBSNC IDENTIFIER
NC
Enumeration date
07/02/2006
Last updated
08/22/2020
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