Provider Demographics
NPI:1043511819
Name:WHITEHALL DENTAL PARTNERS, LLP
Entity type:Organization
Organization Name:WHITEHALL DENTAL PARTNERS, LLP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MCVEIGH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:614-231-1600
Mailing Address - Street 1:4545 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-3038
Mailing Address - Country:US
Mailing Address - Phone:614-231-1600
Mailing Address - Fax:614-231-1640
Practice Address - Street 1:4545 E MAIN ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-3038
Practice Address - Country:US
Practice Address - Phone:614-231-1600
Practice Address - Fax:614-231-1640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty