Provider Demographics
NPI:1952777914
Name:CHRIS WHETSTONE DDS INC
Entity type:Organization
Organization Name:CHRIS WHETSTONE DDS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:WHETSTONE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:805-496-9393
Mailing Address - Street 1:223 E THOUSAND OAKS BLVD STE 316
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-7735
Mailing Address - Country:US
Mailing Address - Phone:805-496-9393
Mailing Address - Fax:805-497-4365
Practice Address - Street 1:223 E THOUSAND OAKS BLVD STE 316
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-7735
Practice Address - Country:US
Practice Address - Phone:805-496-9393
Practice Address - Fax:805-497-4365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-13
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1639284342OtherNPI INDIVIDUAL