Provider Demographics
NPI:1376946137
Name:WHITMAN WELCH DMD PC
Entity Type:Organization
Organization Name:WHITMAN WELCH DMD PC
Other - Org Name:OXFORD DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WHITMAN
Authorized Official - Middle Name:LAMAR
Authorized Official - Last Name:WELCH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:256-831-3432
Mailing Address - Street 1:420 SNOW ST
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:AL
Mailing Address - Zip Code:36203-1266
Mailing Address - Country:US
Mailing Address - Phone:256-831-3432
Mailing Address - Fax:256-835-3439
Practice Address - Street 1:420 SNOW ST
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:AL
Practice Address - Zip Code:36203-1266
Practice Address - Country:US
Practice Address - Phone:256-831-3432
Practice Address - Fax:256-835-3439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-07
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5914122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty