Daniel Whitley III DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DANIEL WHITLEY III DDS, PA

Practice address

200 Doctors Dr Ste F
Jacksonville, NC 28546-6308

Phone

(910) 353-4242

Fax

(910) 577-6421

NPI assigned

Oct 2, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Daniel Whitley III, DDSNPI 1184039455

Title

President

Phone

(910) 353-4242

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Whitley III, DDS

  • General Practice Dentistry
  • Jacksonville, NC
  • NPI 1184039455
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1134639404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DOCTORS DR STE F",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466308",
            "telephone_number": "910-353-4242",
            "fax_number": "910-577-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 DOCTORS DR STE F",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466308",
            "telephone_number": "910-353-4242",
            "fax_number": "910-577-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL WHITLEY III DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WHITLEY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-353-4242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelia Dabrowski
• Taylor Dameworth, DDS
• Judith Ann Damstrom, R.N.
• Daniel & Max, LLC (Stanton Optical)
• Daniel M. Hagan
• Gabrielle Daniels
• Kiley Donita Daughtry, N/A
• David Johnson DDS PA
• David M. Stella, OD, PA
• Marieanne Davila, MS, CCC-SLP

• General Practice Dentistry in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.