Provider Demographics
NPI:1063850469
Name:WAULIGMAN, WHITNEY R (DDS)
Entity Type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:R
Last Name:WAULIGMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 489
Mailing Address - Street 2:
Mailing Address - City:ADDYSTON
Mailing Address - State:OH
Mailing Address - Zip Code:45001-0489
Mailing Address - Country:US
Mailing Address - Phone:513-662-4242
Mailing Address - Fax:
Practice Address - Street 1:16 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ADDYSTON
Practice Address - State:OH
Practice Address - Zip Code:45001-2519
Practice Address - Country:US
Practice Address - Phone:513-662-4242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-06
Last Update Date:2021-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30 0239551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice