Provider Demographics
NPI:1861820052
Name:WHITEHOUSE, ERIKA (DMD)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:
Last Name:WHITEHOUSE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:893 N IH 35
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-4309
Mailing Address - Country:US
Mailing Address - Phone:512-310-9374
Mailing Address - Fax:512-244-3954
Practice Address - Street 1:893 N IH 35
Practice Address - Street 2:SUITE 200
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-4309
Practice Address - Country:US
Practice Address - Phone:512-310-9374
Practice Address - Fax:512-244-3954
Is Sole Proprietor?:No
Enumeration Date:2013-10-24
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29047122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist