Dennis Dale Whitten in Idabel - Addiction (substance Use Disorder)

Dennis Dale Whitten - NPI 1184743502

Dennis Dale Whitten is a Addiction (substance Use Disorder) in Idabel, Oklahoma. Dennis Dale Whitten practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Dennis Dale Whitten is 1184743502. The last update date is 2007-07-08.

Dennis Dale Whitten's current location address is Po Box 555, Idabel, Oklahoma. You can contact this provider via phone number 5802129175 and fax number 5802866385. The mailing address for Dennis Dale Whitten is Po Box 555, Idabel, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Dennis Dale Whitten
Address Po Box 555, Idabel, Oklahoma
Phone Number 5802129175
Fax Number 5802866385
Sole Proprietor N
Credentials MACJ, LADC

NPI Number Detail

NPI Number 1184743502
Provider Enumeration Date 2007-03-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 555
City Idabel
State Oklahoma (OK)
Post Code 747450555
Phone Number 5802129175
Fax Number 5802866385

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 72
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
955461203 OK CAADC
685 OK ICAADC
72 OK LICENSED ALCOHOL AND DRUG

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FAQs about Dennis Dale Whitten

What is the unique identification code assigned to Dennis Dale Whitten by the Centers for Medicare & Medicaid Services?

The Dennis Dale Whitten has been issued the NPI (National Provider Identifier) 1184743502. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Dennis Dale Whitten's physical address?

The Dennis Dale Whitten is physically located at Po Box 555, in the city of Idabel, OK, with the postal code 747450555.

What is the Dennis Dale Whitten's area of specialization and corresponding taxonomy classification?

The Dennis Dale Whitten's specialty field is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1184743502 to Dennis Dale Whitten?

The Centers for Medicare & Medicaid Services assigned the 1184743502 to Dennis Dale Whitten on 2007-03-28.

As of what date was the information pertaining to Dennis Dale Whitten, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Dennis Dale Whitten, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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