Provider Demographics
NPI:1619242112
Name:BATOR, WHITNEY MORGAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:MORGAN
Last Name:BATOR
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 1:7301 WEST EMERALD STREET
Mailing Address - Street 2:SUITE #102
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83704-8689
Mailing Address - Country:US
Mailing Address - Phone:208-286-2699
Mailing Address - Fax:
Practice Address - Street 1:7301 W EMERALD ST STE 102
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83704-8689
Practice Address - Country:US
Practice Address - Phone:208-286-2699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-16
Last Update Date:2017-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDD-48441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice