John F Whitt Jr DDS PA
Organization Active NPI Endodontics · Lake Lake, FL
NPI 1699880294 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1699880294
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Endodontics 1223E0200X
- License
- DN0009355 (FL)
- Legal business name
- JOHN F WHITT JR DDS PA
- Practice address
- 121 Griffin View Dr
Lake Lake, FL 32159 - Phone
- (352) 259-3636
- Fax
- (352) 259-2447
- NPI assigned
- Aug 21, 2006
- Organization subpart
- No
Authorized official
- Name
- John F Whitt Jr., DDS
- Title
- President
- Phone
- (352) 259-3636
Practitioners 3
-
Pushpak Narayana, MDS
-
John Flectcher Whitt Jr., D.D.S.
-
Tina Marie Whitt, DNP ARNP-BC BC-ADM
National Provider Directory
Locations
121 Griffin View Dr
Lady Lake, FL 32159
Phone (352) 226-5899
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics |
1223E0200X | DN0009355 | FL | Yes |
Addresses
Primary practice location
121 Griffin View Dr
Lake Lake, FL 32159
Mailing address
121 Griffin View Dr
Lake Lake, FL 32159
Phone (352) 259-3636
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 69973 | Other | FL | BCBS |
| 872808 | Other | FL | DELTA CARE |
Other names
- Nature Coast Endodontics
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.