Provider Demographics
NPI:1649888629
Name:WHITNEY A SEBREE, DMD PLLC
Entity type:Organization
Organization Name:WHITNEY A SEBREE, DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:SEBREE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:602-926-1651
Mailing Address - Street 1:15331 W BELL RD STE 204
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-4104
Mailing Address - Country:US
Mailing Address - Phone:602-926-1651
Mailing Address - Fax:
Practice Address - Street 1:15331 W BELL RD STE 204
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-4104
Practice Address - Country:US
Practice Address - Phone:602-926-1651
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-16
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental