Whittaker, Thomas C

Whittaker, Thomas C is an individual health care provider with primary practice located at 939 E Emerald Ave Ste 501, Knoxville TN 37917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Whittaker, Thomas C can be contacted via phone (865) 522-6885.

Contact Information

Primary practice address
939 E Emerald Ave Ste 501 Knoxville TN 37917
Phone: (865) 522-6885
Fax: (865) 522-0026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X DS02991 Tennessee

Profile Details

NPI number 1194704171
LBN Legal business name Whittaker, Thomas C
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194704171 NPPES
Tennessee MEDICAID 3223817

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