MEDICARE: DR. STEVEN DARCEY WHITTEMORE D.D.S.

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	1223P0221X	Pediatric Dentistry	08228	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740244946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN DARCEY WHITTEMORE D.D.S.

Provider Business Mailing Address
First Line	:	4535 ZILKER DR
Second Line	:
City	:	PLEASANT HILL
State	:	IA
Zip	:	50327-0923
Country	:	US
Telephone Number	:	515-262-5129
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 73RD ST
Second Line	:	SUITE 10
City	:	WINDSOR HEIGHTS
State	:	IA
Zip	:	50311-1321
Country	:	US
Telephone Number	:	515-223-1298
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. STEVEN DARCEY WHITTEMORE D.D.S.” Practice Location

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