Provider Demographics
NPI:1457501587
Name:M.TODD WHITFIELD DDS., PA
Entity Type:Organization
Organization Name:M.TODD WHITFIELD DDS., PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:M
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:WHITFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-542-8006
Mailing Address - Street 1:2530 W ELDORADO PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-4398
Mailing Address - Country:US
Mailing Address - Phone:972-542-8006
Mailing Address - Fax:972-547-4415
Practice Address - Street 1:2530 W ELDORADO PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-4398
Practice Address - Country:US
Practice Address - Phone:972-542-8006
Practice Address - Fax:972-547-4415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-25
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16123122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty