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Active NPI 1164517017 Individual Practitioner Male Practitioner

Dr. J D Whitener , DDS

Dentist - General Practice • Marietta, GA

Professional Overview & Biography Verified Profile Summary

Dr. J Whitener, DDS is a registered healthcare professional specializing in Dentist - General Practice in Marietta, GA. Practice services are available at 121 MARBLE MILL RD NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

121 Marble Mill Rd Nw
Suite 201

Marietta, GA 300601047

Telephone 7704278579
Fax 7704278957
Associated Practice Facility / Clinic
🏢 Wellstar Medical Group, Llc Facility NPI 1518263656

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Marietta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
162 Specialists

Practicing in Marietta, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA 010191

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00305555A (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Ayesha Rahman , DMD

Dentist - General Practice

NPI 1225110356

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 09, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 09, 2015

Registered at 121 MARBLE MILL RD NW, SUITE 201, MARIETTA, GA 300601047 (Tel: 7704278579)

📍
Updated Business Mailing Address June 09, 2015

Registered at 121 MARBLE MILL RD NW, SUITE 201, MARIETTA, GA 300601047 (Tel: 7704278579)

👤
Provider Name / Credentials Updated June 09, 2015

Recorded as J WHITENER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2015

Dentist (License #010191 in GA)

🟢
Initial NPI Registration & Enumeration October 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164517017
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2006
Last Update: June 09, 2015
Sole Proprietor: No

Mailing Address

121 Marble Mill Rd Nw, Suite 201

Marietta, GA 300601047

Phone: 7704278579

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.