NPI: 1831324052
Provider Name: GLADYS J. WHITTEN, DMD, PA
Former Legal Business Name: CAPROCK ORAL & MAXILLOFACIAL SURGERY, P.A.
Classification: Dentist - 1223S0112X
Entity Type: Organization
Specialization: Oral and Maxillofacial Surgery
Address:
5730 66TH ST
SUITE 2
LUBBOCK, TX
ZIP 79424
Phone: (806) 535-0238
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GLADYS J. WHITTEN, DMD, PA is an oral and maxillofacial surgery dentist in Lubbock, TX. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. GLADYS J. WHITTEN, DMD, PA NPI is 1831324052. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Caprock Oral & Maxillofacial Surgery, P.a..
The provider's business location address is:
5730 66TH ST
SUITE 2
LUBBOCK, TX
ZIP 79424-224
Phone: (806) 535-0238
Fax: (806) 794-0025
The provider's authorized official is Gladys Johnson Whitten .
The authorized official title is Oral & Maxillofacial Surgeon/ Pres. and has the following contact phone number (806) 535-0238.
The enumeration date for this NPI number is 5/18/2009 and was last updated on 10/1/2014.