Whetman Dental PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

WHETMAN DENTAL PLLC

Practice address

657 E Cottonwood St Ste 1
Cottonwood, AZ 86326-4407

Phone

(928) 634-5033

NPI assigned

Sep 28, 2023

Last updated

Oct 4, 2023By 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. Jeremiah Whetman, DDSNPI 1639500879

Title

Ceo/Owner

Phone

(402) 599-3216

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Jeremiah Whetman, D.D.S.

  • Student in an Organized Health Care Education/Training Program
  • San Antonio, TX
  • NPI 1639500879
  NPD Authorized official
• Michael Raymond Robertson, D.M.D.

  • Periodontics
  • Cottonwood, AZ
  • NPI 1780702241
  NPD (past)

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1659150662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 E COTTONWOOD ST STE 1",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264407",
            "telephone_number": "928-634-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 E COTTONWOOD ST STE 1",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264407",
            "telephone_number": "928-634-5033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1146 W SR 89A Ste C3",
            "address_purpose": "LOCATION",
            "city": "Sedona",
            "state": "AZ",
            "postal_code": "863365770",
            "country_code": "US",
            "telephone_number": "928-282-2946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WHETMAN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "WHETMAN",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "402-599-3216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Welly, PAC
• Thomas D Wendel, MD
• Sharon Marie Wenger, P.T.
• West Yavapai Guidance Clinic Inc
• Bruce Edwin Westover, D.D.S.
• White Pearl Counseling LLC
• Jennifer Lynn White, RN
• Samuel Brian Wiese, PT, DPT, SCS
• Malcolm Wilkinson, MD
• Willard Community Healthcare, LLC (Verde Valley Assisted Living)

• Periodontics in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Periodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.