Provider Demographics
NPI:1548335094
Name:WHITFIELD, THOMAS F (DDS)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:F
Last Name:WHITFIELD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 B ST
Mailing Address - Street 2:
Mailing Address - City:CHENEY
Mailing Address - State:WA
Mailing Address - Zip Code:99004-1768
Mailing Address - Country:US
Mailing Address - Phone:509-235-6137
Mailing Address - Fax:509-235-5689
Practice Address - Street 1:625 B ST
Practice Address - Street 2:
Practice Address - City:CHENEY
Practice Address - State:WA
Practice Address - Zip Code:99004-1768
Practice Address - Country:US
Practice Address - Phone:509-235-6137
Practice Address - Fax:509-235-5689
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA58121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice