Provider Demographics
NPI:1447257696
Name:WHITMAN, THORPE R (DDS)
Entity type:Individual
Prefix:DR
First Name:THORPE
Middle Name:R
Last Name:WHITMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 E LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:WATSONVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95076-4739
Mailing Address - Country:US
Mailing Address - Phone:831-724-6349
Mailing Address - Fax:831-724-3677
Practice Address - Street 1:213 E LAKE AVE
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-4739
Practice Address - Country:US
Practice Address - Phone:831-724-6349
Practice Address - Fax:831-724-3677
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA207261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice