1669423315 NPI number — DR. THORPE CLARKE WHITEHEAD DDS

Table of content: DR. THORPE CLARKE WHITEHEAD DDS (NPI 1669423315)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669423315 NPI number — DR. THORPE CLARKE WHITEHEAD DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WHITEHEAD
Provider First Name:
THORPE
Provider Middle Name:
CLARKE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1669423315
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/20/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
U.S.A. DENTAC
Provider Second Line Business Mailing Address:
646 SWIFT ROAD
Provider Business Mailing Address City Name:
WEST POINT
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10996
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-938-3121
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
SAUNDERS DENTAL CLINIC
Provider Second Line Business Practice Location Address:
646 SWIFT CREEK ROAD
Provider Business Practice Location Address City Name:
WEST POINT
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10996
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-938-7752
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223X0400X , with the licence number:  04010007795 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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