Doctor Name: | DR. WILLIAM L WHATLEY |
NPI Number: | 1467510123 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.M.D. |
License Number: | 10831 |
Business Practice Address: | 2487 Demere Rd Suite 300 Saint Simons Island, GA - 315225639 |
Business Phone Number: | 9126389302 |
Business Fax Number: | |
Mailing Address: | 2487 Demere Rd, Suite 300 SAINT SIMONS ISLAND |
State: | GA |
Postal Code: | 315225639 |
Phone Number: | 9126389302 |
Fax Number: | |
NPI Enumeration Date: | 12/05/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 10831 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |