Provider Demographics
NPI:1326276692
Name:MITCHELL, WHITNEY CARRAWAY (DMD)
Entity Type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:CARRAWAY
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:WHITNEY
Other - Middle Name:ANN
Other - Last Name:CARRAWAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:1117 SE 2ND ST
Mailing Address - Street 2:
Mailing Address - City:SNOW HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28580-2009
Mailing Address - Country:US
Mailing Address - Phone:252-747-2376
Mailing Address - Fax:252-747-4024
Practice Address - Street 1:1117 SE 2ND ST
Practice Address - Street 2:
Practice Address - City:SNOW HILL
Practice Address - State:NC
Practice Address - Zip Code:28580-2009
Practice Address - Country:US
Practice Address - Phone:252-747-2376
Practice Address - Fax:252-747-4024
Is Sole Proprietor?:No
Enumeration Date:2009-06-25
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8819122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist