Clinton Harlan Whittington II, DDS
Dentist, General Practice in Flora, MS. Individual provider (NPI-1).
NPI number1215047717
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1215047717
- Entity type
- Individual (NPI-1)
- Name
- Clinton Harlan Whittington II
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 168775 | MS | Yes |
Practice location
4856 Main StFlora, MS 39071-1701
Phone 601-879-8099
Mailing address
Po Box OFlora, MS 39071-1701
Phone 601-879-8099
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Other General Practice Dentistry providers in Flora, MS
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