Provider Demographics
NPI:1235542366
Name:WHITECOTTON, BRYAN CURTIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:CURTIS
Last Name:WHITECOTTON
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 1:101 ROCK HAVEN RD
Mailing Address - Street 2:APT C302
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-2575
Mailing Address - Country:US
Mailing Address - Phone:704-369-1529
Mailing Address - Fax:
Practice Address - Street 1:101 ROCK HAVEN RD
Practice Address - Street 2:APT C302
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-2575
Practice Address - Country:US
Practice Address - Phone:704-369-1529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-05
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC97711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice