Active NPIIndividual providerSole proprietor

Dr. E L Whitworth Jr., DDS

Dentist, General Practice in Mattapan, Massachusetts

NPI Number1992836209
Practice location
542 River St, Mattapan, MA 02126-3014
Fax
617-296-6004
Last updated
April 3, 2013

E Leo Whitworth is a Dentist, General Practice based in Mattapan, MA. E Leo Whitworth practices in Mattapan, MA and has the professional credentials of DDS. The NPI Number for E Leo Whitworth is 1992836209 and holds a License No. 13558 (MA). The current practice location address for E Leo Whitworth is 542 River St, Mattapan, MA 02126-3014 and can be reached out via phone at 617-298-1955 and via fax at 617-296-6004.

Provider Profile Details

NPI Number
1992836209
Provider Name
E Leo Whitworth
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
542 River St, Mattapan, MA 02126-3014
Phone Number
617-298-1955
Fax Number
617-296-6004
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Other Names
Dr. E Leo Whitworth, DDS (Professional Name)
Provider Enumeration Date
March 8, 2007
Last Update Date
April 3, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
542 River St
Mattapan, MA 02126-3014
Zip
02126-3014
Phone Number
617-298-1955
Fax Number
617-296-6004
Mattapan, MA 02126Get directions →

Provider Business Mailing Address Details

Address
542 River St
Mattapan, MA 02126-3014
City
Mattapan
State
MA
Zip
02126-3014
Phone Number
617-298-1955
Fax Number
617-296-6004

License Information

License Number
13558
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. E L Whitworth Jr., DDS?

The NPI number of Dr. E L Whitworth Jr., DDS is 1992836209. It was assigned on March 8, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. E L Whitworth Jr., DDS?

Dr. E L Whitworth Jr., DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 13558.

Where does Dr. E L Whitworth Jr., DDS practice?

The practice location is 542 River St, Mattapan, MA 02126-3014. The office can be reached at 617-298-1955 (phone) or 617-296-6004 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992836209 directly on the NPPES registry website.

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