Provider Demographics
NPI:1609182740
Name:WHITMAN, KIME AIDEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:KIME
Middle Name:AIDEN
Last Name:WHITMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:661 POTOMAC STATION DR
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-7024
Mailing Address - Country:US
Mailing Address - Phone:703-831-3952
Mailing Address - Fax:
Practice Address - Street 1:661 POTOMAC STATION DR
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-2017
Practice Address - Country:US
Practice Address - Phone:703-831-3952
Practice Address - Fax:888-585-3605
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-26
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401412975122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist