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JESSE WHITELY DDS, INC
NPI 1972081545
Clinic/Center - Dental in Auburn, CA

Active since August 05, 2018
3113 PROFESSIONAL DR, AUBURN, CA 95603(530) 885-6559(530) 885-4142 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 23, 2021, Apr 8, 2020, Aug 5, 2018 (3 updates tracked since 2018).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Dental

About JESSE WHITELY DDS, INC

This page provides the complete NPI Profile along with additional information for Jesse Whitely Dds, Inc, a provider established in Auburn, California operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1972081545 assigned on August 2018. The practitioner's primary taxonomy code is 261QD0000X with license number 59369 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. Jesse Ryan Whitely Dds (President)

NPI
1972081545 Verify this NPI
Provider Name
JESSE WHITELY DDS, INC
Entity Type
Organization
Location Address
3113 PROFESSIONAL DR AUBURN, CA 95603
Location Phone
(530) 885-6559
Location Fax
(530) 885-4142
Mailing Address
3113 PROFESSIONAL DR AUBURN, CA 95603
Mailing Phone
(530) 885-6559
Mailing Fax
(530) 885-4142
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-05-2018
Last Update Date
12-23-2021
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
59369
License State
CA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JESSE RYAN WHITELY DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(530) 885-6559

Reviews for JESSE WHITELY DDS, INC

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

ELIZABETH NELSON
Dentist (General Practice)
3113 PROFESSIONAL DR, SUITE 3
AUBURN, CA 95603
Placer County (530) 885-8152
DR. DAVID A SALMASSY D.M.D
Dentist (Oral and Maxillofacial Surgery)
3113 PROFESSIONAL DR
AUBURN, CA 95603
Placer County (530) 823-5468
SEAN P. AVERA D.D.S., INC.
Dentist (Periodontics)
3113 PROFESSIONAL DR, SUITE 5
AUBURN, CA 95603
Placer County (530) 885-0953
DR. SEAN P AVERA D.D.S., M.S.
Dentist (Periodontics)
3113 PROFESSIONAL DR, SUITE 5
AUBURN, CA 95603
Placer County (530) 885-0953

Frequently Asked Questions

What is JESSE WHITELY DDS, INC's NPI number?

The NPI number assigned to this healthcare provider is 1972081545, enumerated as an "organization" on August 05, 2018.

Where is the provider located?

The provider is located at 3113 PROFESSIONAL DR AUBURN, CA 95603 and the phone number is (530) 885-6559.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.