Provider Demographics
NPI:1457446122
Name:WHOLEY, LAURA DENISE (DMD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:DENISE
Last Name:WHOLEY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:733 WASHINGTON RD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-2022
Mailing Address - Country:US
Mailing Address - Phone:412-561-1010
Mailing Address - Fax:412-344-5163
Practice Address - Street 1:733 WASHINGTON RD
Practice Address - Street 2:SUITE 310
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-2022
Practice Address - Country:US
Practice Address - Phone:412-561-1010
Practice Address - Fax:412-344-5163
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS023589L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice