Individual provider · Type 1 NPI

Tobiras Jerusalem Barao Whitfield, DDS

Student in an Organized Health Care Education/Training Program · Mineola, NY

NPI number 1023802071 Active

Practice location

200 Old Country Rd
Mineola, NY 11501-4235

Mailing address

32 Gusto Ln
Roosevelt, NY 11575-1828

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1023802071

Tobiras Jerusalem Barao Whitfield, DDS's National Provider Identifier is 1023802071, issued on Apr 7, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mineola, NY. The record was last updated on Apr 7, 2025.