Provider Demographics
NPI:1508806472
Name:WHINERY, JOHN GRAHAM JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:GRAHAM
Last Name:WHINERY
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1900 COULTER
Mailing Address - Street 2:STE J
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106
Mailing Address - Country:US
Mailing Address - Phone:806-358-7066
Mailing Address - Fax:806-356-0445
Practice Address - Street 1:1900 COULTER
Practice Address - Street 2:STE J
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106
Practice Address - Country:US
Practice Address - Phone:806-358-7066
Practice Address - Fax:806-356-0445
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX135191223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
T16569Medicare UPIN