Provider Demographics
NPI:1275793630
Name:ERIN L. WHITTAKER D.D.S.,L.L.C.
Entity Type:Organization
Organization Name:ERIN L. WHITTAKER D.D.S.,L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITTAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-267-4243
Mailing Address - Street 1:11 W COOKE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3068
Mailing Address - Country:US
Mailing Address - Phone:614-267-4243
Mailing Address - Fax:614-267-1745
Practice Address - Street 1:11 W COOKE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3068
Practice Address - Country:US
Practice Address - Phone:614-267-4243
Practice Address - Fax:614-267-1745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental