DR. Jerry David Whitaker, D.D.S.

NPI #1255403440 in Trenton, Missouri

Provider Information

NPI Number
1255403440
Entity Type
Individual
Name
DR. Jerry David Whitaker, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Nov 14, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1125 E 17TH ST
ZIP Code
64683-1929
Phone
(660) 359-2005

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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