Provider Demographics
NPI:1851549810
Name:WHIPPLE, EMILY ADAIR (DMD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:ADAIR
Last Name:WHIPPLE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:EMILY
Other - Middle Name:ADAIR
Other - Last Name:HOLLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:10645 DOUBLE R BLVD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-8920
Mailing Address - Country:US
Mailing Address - Phone:775-852-6164
Mailing Address - Fax:
Practice Address - Street 1:10645 DOUBLE R BLVD
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-8920
Practice Address - Country:US
Practice Address - Phone:775-852-6164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVS6-1411223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry