location
search-icon
person
Dr. Jack Allen Whittaker, DDS
Pediatric Dentist in Bowling Green, Ohio
NPI 1558356030

Jack Allen Whittaker is a Pediatric Dentist based in Bowling Green, OH and is specialized in Pediatric Dentistry. Jack Allen Whittaker practices in Bowling Green, OH and has the professional credentials of DDS. The NPI Number for Jack Allen Whittaker is 1558356030 and holds a License No. OH 12369 (Ohio).

The current practice location address for Jack Allen Whittaker is 960 W Wooster St, Bowling Green, OH and can be reached out via phone at 419-352-3527 and via fax at 419-352-6122. You can also correspond with Jack Allen Whittaker through the mailing address at 422 E TRUMAN AVE, BOWLING GREEN, OH - 43402-2146 (mailing address contact number: 419-352-4106).

Location: 960 W Wooster St, Bowling Green, OH, 43402-2146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558356030
Provider Name
Jack Allen Whittaker
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
960 W Wooster St, Bowling Green, OH, 43402-2146
Phone Number
419-352-3527
Fax Number
419-352-6122
Provider Enumeration Date
09/12/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0017332 05 OH
institution
Provider Business Practice Location Address Details
Address
960 W Wooster St
City
Bowling Green
State
Ohio
Zip
43402-2644
Phone Number
419-352-3527
Fax Number
419-352-6122
person
Provider Business Mailing Address Details
Address
960 W Wooster St
City
Bowling Green
State
Ohio
Zip
43402-2644
Phone Number
419-352-3527
Fax Number
419-352-6122
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
OH 12369 (Ohio)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.