Provider Demographics
NPI:1619381233
Name:PAUL, WHITNEY MICHELE (DDS)
Entity Type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:MICHELE
Last Name:PAUL
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 1:1474 OWENS RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:PA
Mailing Address - Zip Code:16365-4866
Mailing Address - Country:US
Mailing Address - Phone:814-706-1594
Mailing Address - Fax:
Practice Address - Street 1:211 MARKET ST
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:PA
Practice Address - Zip Code:16365-5701
Practice Address - Country:US
Practice Address - Phone:814-726-3630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-12
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS040009122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist