Provider Demographics
NPI:1962599548
Name:LARRY D WHITING DDS PC
Entity type:Organization
Organization Name:LARRY D WHITING DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:WHITING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-881-7550
Mailing Address - Street 1:660 N CENTRAL EXPY
Mailing Address - Street 2:#644
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-6780
Mailing Address - Country:US
Mailing Address - Phone:972-881-7550
Mailing Address - Fax:972-422-1552
Practice Address - Street 1:660 N CENTRAL EXPY
Practice Address - Street 2:#644
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-6780
Practice Address - Country:US
Practice Address - Phone:972-881-7550
Practice Address - Fax:972-422-1552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX140091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty