Dr. Jack Allen Whittaker is a Bowling Green, Ohio based Pediatric Dentist who is specialized in Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Jack Allen Whittaker is OH 12369 for Pediatric Dentistry in Ohio. His current practice location is 960 W Wooster St, Ste. 201, Bowling Green. Patients can reach him at 419-352-3527.
Dr. Jack Allen Whittaker provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Jack Allen Whittaker speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Jack Allen Whittaker
Specialization:
Pediatric Dentist
Gender:
Male
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
960 W Wooster St, Ste. 201, Bowling Green, Ohio, 43402-2644
Phone:
419-352-3527
Fax:
419-352-6122
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1558356030
NPI Enumeration Date:
12 Sep, 2005
NPI Last Update On:
09 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jack Allen Whittaker are as mentioned below.
License Number
Specialization
State
Status
OH 12369
Pediatric Dentistry
Ohio
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jack Allen Whittaker such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0017332
Medicaid
Ohio
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
422 E Truman Ave, Bowling Green, Ohio
Zip:
43402-2146
Phone Number:
419-352-4106
Fax Number:
419-352-6122
Patients can reach Dr. Jack Allen Whittaker at 960 W Wooster St, Ste. 201, Bowling Green, Ohio or can call to book an appointment on 419-352-3527. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.