DR. Acie Whitlock JR., DMD
NPI #1013921998 in Jackson, Mississippi
Provider Information
- NPI Number
- 1013921998
- Entity Type
- Individual
- Name
- DR. Acie Whitlock JR., DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Jul 28, 2006
- Last Updated
- Sep 18, 2007
Practice Location
- Address
- 514G E WOODROW WILSON AVE
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-4538
- Phone
- (601) 982-7636
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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