Provider Demographics
NPI:1629358536
Name:WHITENHILL, AMBER PAIGE (DDS)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:PAIGE
Last Name:WHITENHILL
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 1:12918 CARNESI DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91739-9546
Mailing Address - Country:US
Mailing Address - Phone:909-821-6796
Mailing Address - Fax:
Practice Address - Street 1:9130 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-3449
Practice Address - Country:US
Practice Address - Phone:909-466-4999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-23
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60632122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist