Provider Demographics
NPI:1902215312
Name:ANHORN, WHITNEY ANN (DMD)
Entity Type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:ANN
Last Name:ANHORN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:ANN
Other - Last Name:SORENSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1425 SUMMIT AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-3202
Mailing Address - Country:US
Mailing Address - Phone:262-542-1662
Mailing Address - Fax:
Practice Address - Street 1:1425 SUMMIT AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-3202
Practice Address - Country:US
Practice Address - Phone:262-542-1662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-11
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60485041122300000X
WI1001265122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist