Provider Demographics
NPI:1730305525
Name:WHITTLE, ERNEST JAMES III (BS, DDS)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:JAMES
Last Name:WHITTLE
Suffix:III
Gender:M
Credentials:BS, DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:284 SOUND BEACH AVE
Mailing Address - Street 2:
Mailing Address - City:OLD GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06870-1626
Mailing Address - Country:US
Mailing Address - Phone:203-637-4660
Mailing Address - Fax:203-698-0844
Practice Address - Street 1:284 SOUND BEACH AVE
Practice Address - Street 2:
Practice Address - City:OLD GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06870-1626
Practice Address - Country:US
Practice Address - Phone:203-637-4660
Practice Address - Fax:203-698-0844
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT6036122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist