Provider Demographics
NPI:1013381409
Name:WJ PARTNERSHIP
Entity Type:Organization
Organization Name:WJ PARTNERSHIP
Other - Org Name:WHITE AND JOHNSON PEDIATRIC DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:HALLEY
Authorized Official - Middle Name:RHODES
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, PA
Authorized Official - Phone:910-686-1869
Mailing Address - Street 1:109 MENDENHALL DR STE A
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28411-9124
Mailing Address - Country:US
Mailing Address - Phone:910-540-5967
Mailing Address - Fax:910-319-6014
Practice Address - Street 1:109 MENDENHALL DR STE A
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28411-9124
Practice Address - Country:US
Practice Address - Phone:910-686-1869
Practice Address - Fax:910-319-6014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-23
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty