MEDICARE: DR. DREW DAVID WHITFORD DMD

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	122300000X	Dentist	DN 18661	FL

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	:	1851527303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DREW DAVID WHITFORD DMD

Provider Business Mailing Address
First Line	:	603 SCENIC HILL CIRCLE
Second Line	:
City	:	BONIFAY
State	:	FL
Zip	:	32425
Country	:	US
Telephone Number	:	352-870-3739
Fax Number	:

Provider Business Practice Location Address
First Line	:	1338 SOUTH BLVD
Second Line	:
City	:	CHIPLEY
State	:	FL
Zip	:	32428-1846
Country	:	US
Telephone Number	:	850-638-6240
Fax Number	:

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

Provider Enumeration Date	:	06/10/2009
Last Update Date	:	01/26/2026

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