Provider Demographics
NPI:1699701938
Name:WHITMIRE, HAROLD CLARK JR (DMD, JD)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:CLARK
Last Name:WHITMIRE
Suffix:JR
Gender:M
Credentials:DMD, JD
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:5618 BEAVER LODGE DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77345-1744
Mailing Address - Country:US
Mailing Address - Phone:281-360-6706
Mailing Address - Fax:281-360-7673
Practice Address - Street 1:5618 BEAVER LODGE DR
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77345-1744
Practice Address - Country:US
Practice Address - Phone:281-360-6706
Practice Address - Fax:281-360-7673
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-25
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX191271223D0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0004XDental ProvidersDentistDental Anesthesiology