Provider Demographics
NPI:1093714347
Name:WHITT, JOSEPH CRAIG (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:CRAIG
Last Name:WHITT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12725 MOHAWK CIR
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66209-1718
Mailing Address - Country:US
Mailing Address - Phone:816-235-6489
Mailing Address - Fax:816-235-5473
Practice Address - Street 1:650 E 25TH ST
Practice Address - Street 2:UNIVERSITY OF MISSOURI KANSAS CITY SCHOOL OF DENTISTRY
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-2716
Practice Address - Country:US
Practice Address - Phone:816-235-6489
Practice Address - Fax:816-235-5473
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20040188931223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology