Gary H. Whitelock, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4146 Issued in KY

Practice address

100 Fountain Ave
Paducah, KY 42001-2771

Phone

(270) 444-6453

Fax

(270) 443-8899

NPI assigned

Aug 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528075330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FOUNTAIN AVE",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420012771",
            "telephone_number": "270-444-6453",
            "fax_number": "270-443-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FOUNTAIN AVE",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420012771",
            "telephone_number": "270-444-6453",
            "fax_number": "270-443-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITELOCK",
        "first_name": "GARY",
        "middle_name": "H.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "4146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Lynn Whitaker, PHARMD, CDE
• Whitney Whitaker, COTA/L
• White & White Family Dentistry PSC
• Brittany Kay White
• Kelvin L White, DMD
• Sherry Whitler, ARNP
• Steven E Whitman, CRNA
• Tammy Whittington
• Heidi Lynn Whorton
• Blair Bailey Wientjes, APRN

• General Practice Dentistry in Paducah, KY
• Providers in Paducah, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.