Provider Demographics
NPI:1467987818
Name:MAYER, WHITNEY ROSE (DA)
Entity Type:Individual
Prefix:MS
First Name:WHITNEY
Middle Name:ROSE
Last Name:MAYER
Suffix:
Gender:F
Credentials:DA
Other - Prefix:MS
Other - First Name:WHITNEY
Other - Middle Name:ROSE
Other - Last Name:BARRETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DA
Mailing Address - Street 1:10492 DEER MEADOW CIR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80925-1336
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10492 DEER MEADOW CIR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80925-1336
Practice Address - Country:US
Practice Address - Phone:192-441-0097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-24
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant