MEDICARE: WHITWELL DENTISTRY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center	5502	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5502	OTHER	OK	OK DENTAL LICENSE

General Provider Information

NPI Number	:	1538334636
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHITWELL DENTISTRY INC

Provider Business Mailing Address
First Line	:	5103 N SHARTEL AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73118-6024
Country	:	US
Telephone Number	:	405-842-1115
Fax Number	:	405-842-2046

Provider Business Practice Location Address
First Line	:	5103 N SHARTEL AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73118-6024
Country	:	US
Telephone Number	:	405-842-1115
Fax Number	:	405-842-2046

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BRYAN LEE WHITWELL
Credential	:	DDS
Telephone Number	:	405-842-1115

Provider Enumeration Date	:	04/29/2008
Last Update Date	:	04/29/2008

Similar Medicare Providers

1174507065 — DR. BRYAN LEE WHITWELL DDS
Practice Location Address:

5103 N SHARTEL AVE
OKLAHOMA CITY, OK
73118-6024

Practice Phone: 405-842-1115
Practice Fax:

1043761422 — NORTH OKC CHIROPRACTIC
Practice Location Address:

5109 N SHARTEL AVE
OKLAHOMA CITY, OK
73118-6024

Practice Phone: 405-810-5501
Practice Fax: 888-481-4758

1407153380 — MS. ANGELA FLORES
Practice Location Address:

7516 KNIGHT LAKE DR APT 154
OKLAHOMA CITY, OK
73132-6024

Practice Phone: 405-881-2233
Practice Fax:

1093709941 — VIJAY JAIN MD
Practice Location Address:

6024 HOOVER RD
GROVE CITY, OH
43123-8133

Practice Phone: 614-871-3121
Practice Fax: 614-871-4401

1306830294 — TREVOR A DAVY DPM
Practice Location Address:

6024 HOOVER RD , SUITE F
GROVE CITY, OH
43123-8133

Practice Phone: 617-539-4934
Practice Fax: 614-539-4609

1295796993 — SELECT PHYSICAL THERAPY OF OHIO LIMITED PARTNERSHIP
Practice Location Address:

6024 HOOVER RD , SUITE D
GROVE CITY, OH
43123-8133

Practice Phone: 614-871-3832
Practice Fax:

Directions to “WHITWELL DENTISTRY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.