Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN WHITAKER
Active Sole ProprietorKEVIN WHITAKER is a General Dentistry healthcare provider located in FORT VALLEY, Georgia. NPI 1306299292 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · FORT VALLEY, GA
Registration Details
- NPI Number
- 1306299292
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 15, 2016 (9.9016443947939 yrs)
- Last Updated
- Jul 15, 2016
- License
-
DN015178 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
906 ORANGE STFORT VALLEY, GA, 310303456Browse GA providers · Browse ZIP 31030
- Phone
- 4788252001
- Fax
- 4788257836
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in FORT VALLEY, GA
| Name | Credential | NPI |
|---|---|---|
| LINDA B WHITAKER | D.M.D. | 1285652313 |
| JOHN G WHITAKER JR. | D.M.D. | 1306864434 |
| DR. DAWSON KENDRICK MATHEWS | D.M.D. | 1578776456 |
| DR. ULYSSES LUTHER MARABLE III | DMD | 1891905683 |
| RAVIKANTH R KALLU | D.D.S. | 1447415179 |
| DR. CURTIS E WAITES | D.D.S. | 1013339175 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.