Dr. Acie Whitlock Jr., DMD
Dentist, General Practice in Jackson, MS. Individual provider (NPI-1).
NPI number1013921998
StatusActive
Last updated in NPPESSep 18, 2007
Details
- NPI
- 1013921998
- Entity type
- Individual (NPI-1)
- Name
- Dr. Acie Whitlock Jr.
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2006
- Last updated
- Sep 18, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 230386 | MS | Yes |
Practice location
514g E Woodrow Wilson AveJackson, MS 39216-4538
Phone 601-982-7636 · Fax 601-982-4536
Mailing address
514g E Woodrow Wilson AveJackson, MS 39216-4538
Phone 601-982-7636 · Fax 601-982-4536
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All 114 General Practice Dentistry providers in Jackson · All 8,702 providers in Jackson
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