Active NPI
Eugene J. Whitaker, D.M.D.
- General Practice Dentistry
- Lafayette Hill, PA
National Provider Identifier
1750466470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS021031L
- Practice address
- 507 Germantown Pike
Lafayette Hill, PA 19444-1826 - Phone
- (610) 828-6105
- Fax
- (610) 828-9332
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS021031L | PA | Primary |
Addresses
Primary practice location
507 Germantown Pike
Lafayette Hill, PA 19444-1826
Mailing address
507 Germantown Pike
Lafayette Hill, PA 19444-1826
Phone (610) 828-6105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS021031L | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750466470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 GERMANTOWN PIKE",
"city": "LAFAYETTE HILL",
"state": "PA",
"postal_code": "194441826",
"telephone_number": "610-828-6105",
"fax_number": "610-828-9332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 GERMANTOWN PIKE",
"city": "LAFAYETTE HILL",
"state": "PA",
"postal_code": "194441826",
"telephone_number": "610-828-6105",
"fax_number": "610-828-9332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITAKER",
"first_name": "EUGENE",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS021031L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette Hill, PA
- Ryan Daley Weatherford, PH.D.
- Jessica L Webster, MS, LPC
- Harold Weiner, M.D.
- Well Adjusted Chiropractic PC
- Megan Wesner, M.S.W,, LSW
- Whitemarsh Behavioral Healthcare Inc
- Whitemarsh Behavioral Healthcare Inc.
- Whitemarsh Community Ambulance Association
- Whitemarsh Continuing Care Retirement Community (The Hill at Whitemarsh)
- Whitemarsh Dental Care,Inc
Sources for this page
- 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.