NPI Code Details Logo

NPI 1346191418

NPI 1346191418 : WHITESBURG DENTAL DESIGN, LLC : HUNTSVILLE, AL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1346191418
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    WHITESBURG DENTAL DESIGN, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/05/2026
-----------------------------------------------------
    Last Update Date     |    02/05/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2305 WHITESBURG DR SE 
-----------------------------------------------------
    City                 |    HUNTSVILLE
-----------------------------------------------------
    State                |    AL
-----------------------------------------------------
    Zip                  |    35801-3819
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    256-539-9635
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2305 WHITESBURG DR SE 
-----------------------------------------------------
    City                 |    HUNTSVILLE
-----------------------------------------------------
    State                |    AL
-----------------------------------------------------
    Zip                  |    35801-3819
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    256-539-9635
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MANAGING MEMBER
-----------------------------------------------------
    Name                 |     WHITNEY  WORD 
-----------------------------------------------------
    Credential           |    DMD
-----------------------------------------------------
    Telephone            |    256-694-9908
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1223G0001X
-----------------------------------------------------
    Taxonomy Name        |    General Practice Dentistry
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.