Todd Whitlock, DDS, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009170 Issued in IN

Legal business name

TODD WHITLOCK, DDS, LLC

Practice address

3671 S Sare Rd
Bloomington, IN 47401-4173

Phone

(812) 332-0052

Fax

(812) 332-0128

NPI assigned

Sep 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Todd Mitchell Whitlock, D.D.S.NPI 1205937943

Title

President

Phone

(812) 332-0052

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.

• Todd Mitchell Whitlock, D.D.S.

  • General Practice Dentistry
  • Bloomington, IN
  • NPI 1205937943
  NPD (past) Authorized official
• Bryson Richardson, DDS

  • Dentist
  • Bloomington, IN
  • NPI 1457926487
  NPD (past)

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1881843613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3671 S SARE RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474014173",
            "telephone_number": "812-332-0052",
            "fax_number": "812-332-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3671 S SARE RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474014173",
            "telephone_number": "812-332-0052",
            "fax_number": "812-332-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD WHITLOCK, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "WHITLOCK",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-332-0052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quentin Wayne Tingle, PA-C
• Garry D Tinnes, MD
• Candace Tipton, RBT
• Shelby Renee Tipton, DO
• Kamal Kumar Tiwari, M.D.
• Jeremy Todd-Pickett
• Hanna Tolbert
• Reilly Tomlinson, LMHC
• Allison Elaine Tomusk, RN
• Khashayar Tonekaboni, O.D.

• General Practice Dentistry in Bloomington, IN
• Providers in Bloomington, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.