NPI 1013921998
Acie Whitlock, DMD
Practice location
- Address
- 514g E Woodrow Wilson Ave, Jackson, MS 39216-4538
- Phone
- (601) 982-7636
- Fax
- (601) 982-4536
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1013921998
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 Jul 2006
- Record last updated
- 18 Sep 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.