| David H White Dmd Llc | |
|
1600 Nw Hughwood Ct Roseburg OR 97471-8844 | |
| (541) 673-6525 | |
| (541) 672-6414 |
| Full Name | David H White Dmd Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1600 Nw Hughwood Ct, Roseburg, Oregon |
| Authorized Official Name and Position | David H White (OWNER) |
| Authorized Official Contact | 5416736525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David H White Dmd Llc 1600 Nw Hughwood Ct Roseburg OR 97471-8844 Ph: (541) 673-6525 | David H White Dmd Llc 1600 Nw Hughwood Ct Roseburg OR 97471-8844 Ph: (541) 673-6525 |
| NPI Number | 1235908872 |
|---|---|
| Provider Enumeration Date | 12/22/2023 |
| Last Update Date | 01/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235908872 | NPI | - | NPPES |
| 1598852303 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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