Provider Demographics
NPI:1013137041
Name:WILHITE, MICHAEL B (DMD, PA)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:B
Last Name:WILHITE
Suffix:
Gender:M
Credentials:DMD, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 DELBURG ST
Mailing Address - Street 2:SUITE 130
Mailing Address - City:DAVIDSON
Mailing Address - State:NC
Mailing Address - Zip Code:28036-6913
Mailing Address - Country:US
Mailing Address - Phone:704-987-2277
Mailing Address - Fax:704-987-2298
Practice Address - Street 1:209 DELBURG ST
Practice Address - Street 2:SUITE 130
Practice Address - City:DAVIDSON
Practice Address - State:NC
Practice Address - Zip Code:28036-6913
Practice Address - Country:US
Practice Address - Phone:704-987-2277
Practice Address - Fax:704-987-2298
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7037122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist