Provider Demographics
NPI:1326098682
Name:WHITT, JOEL E (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:E
Last Name:WHITT
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Gender:M
Credentials:DMD
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Mailing Address - Street 1:3235 N TOWERBRIDGE WAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83646
Mailing Address - Country:US
Mailing Address - Phone:208-888-7711
Mailing Address - Fax:208-888-3089
Practice Address - Street 1:3235 N TOWERBRIDGE WAY
Practice Address - Street 2:SUITE 200
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83646
Practice Address - Country:US
Practice Address - Phone:208-888-7711
Practice Address - Fax:208-888-3089
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2019-11-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IDD-38681223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry