Provider Demographics
NPI:1699181081
Name:DENTAL REFLECTIONS, DANIEL R. WHITTAKER, DMD, INC.
Entity Type:Organization
Organization Name:DENTAL REFLECTIONS, DANIEL R. WHITTAKER, DMD, INC.
Other - Org Name:WHITTAKER FAMILY DENTAL OF NAPOLEON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:WHITTAKER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:419-592-1981
Mailing Address - Street 1:1330 SCOTT ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:NAPOLEON
Mailing Address - State:OH
Mailing Address - Zip Code:43545-1088
Mailing Address - Country:US
Mailing Address - Phone:419-592-1981
Mailing Address - Fax:866-513-8407
Practice Address - Street 1:1330 SCOTT ST
Practice Address - Street 2:SUITE B
Practice Address - City:NAPOLEON
Practice Address - State:OH
Practice Address - Zip Code:43545-1088
Practice Address - Country:US
Practice Address - Phone:419-592-1981
Practice Address - Fax:866-513-8407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-07
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.024259261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental