Justin Wade Whatley, D.M.D.
Individual provider Active NPI General Practice Dentistry · Abbeville, AL
NPI 1487941449 · NPPES record last updated Jun 28, 2011
Key facts
- NPI
- 1487941449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 5836 (AL)
- Practice address
- 301 Dothan Rd
Abbeville, AL 36310-2901 - Phone
- (334) 585-5400
- Fax
- (334) 585-6800
- NPI assigned
- Jun 28, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160226000983 | AL | Order and Referring Only - Dentist |
4486959517 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whatley Family Dentistry | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5836 | AL | Yes |
Addresses
Primary practice location
301 Dothan Rd
Abbeville, AL 36310-2901
Mailing address
301 Dothan Rd
Abbeville, AL 36310-2901
Phone (334) 585-5400
Other providers in Abbeville, AL
- Suprema Services, LLC.
- Robbie Treadwell
- Wal-Mart Stores East LP
- Walgreen Co
- Whatley Family Dentistry
- Barbara White
- Zastiney Wiggins
- Wingman Veteran Services
All providers in Abbeville, AL · General Practice Dentistry in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.