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DR. JERRY DAVID WHITAKER D.D.S.
NPI 1255403440
Dentist - General Practice in Trenton, MO

Active since November 14, 2006
1125 E 17TH ST, TRENTON, MO 64683(660) 359-2005(660) 359-2461 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jerry David Whitaker D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERRY DAVID WHITAKER D.D.S. (NPI 1255403440) is an individual general practice provider in Trenton, Missouri, licensed in Missouri (015619) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1255403440
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JERRY DAVID WHITAKERCredential: D.D.S.
Location Address1125 E 17TH STTrenton, MO 64683-1929
Mailing Address1125 E 17th StTrenton, MO 64683-1929 · (660) 359-2005 · Fax (660) 359-2461
Phone(660) 359-2005
Fax(660) 359-2461
Sole ProprietorYes
Enumeration DateNovember 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1255403440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 015619
Definition
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.
1125 E 17TH ST, Trenton, MO 64683
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Whitaker's NPI number?

The NPI number for Jerry Whitaker is 1255403440. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Jerry Whitaker located?

Jerry Whitaker practices at 1125 E 17th St, Trenton, MO 64683. The listed phone number is (660) 359-2005.

What is Jerry Whitaker's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jerry Whitaker accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jerry Whitaker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerry Whitaker was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.