| Organization Name: | DR. DALE C. WHILDEN, LLC |
| NPI Number: | 1184898165 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DALE C WHILDEN (SINGLE MEMBER/OWNER) |
| Mailing Address: | 64 Main Ave Ocean Grove |
| State: | NJ US |
| Postal Code: | 077561319 |
| Phone Number: | 7327748700 |
| Fax Number: | 7327748708 |
| NPI Enumeration Date: | 04/21/2008 |
| NPI Last Update Date: | 02/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 22DI01229500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |