Provider Demographics
NPI:1346836145
Name:DEAN WHITING DDS MSD PLLC
Entity type:Organization
Organization Name:DEAN WHITING DDS MSD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MSD
Authorized Official - Phone:623-535-7899
Mailing Address - Street 1:1646 N LITCHFIELD RD STE 260
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395-1387
Mailing Address - Country:US
Mailing Address - Phone:623-535-7899
Mailing Address - Fax:623-535-7821
Practice Address - Street 1:1646 N LITCHFIELD RD STE 260
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-1387
Practice Address - Country:US
Practice Address - Phone:623-535-7899
Practice Address - Fax:623-535-7821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-15
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty