| White Dental | |
|
200 Us Highway 17 N Holly Ridge NC 28445-7826 | |
| (910) 329-8191 | |
| (910) 329-0202 |
| Full Name | White Dental |
|---|---|
| Speciality | Dentist |
| Location | 200 Us Highway 17 N, Holly Ridge, North Carolina |
| Authorized Official Name and Position | James Lankford White (DOCTOR/ OWNER) |
| Authorized Official Contact | 9103298191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Dental Po Box 279 Holly Ridge NC 28445-0279 Ph: (910) 329-8191 | White Dental 200 Us Highway 17 N Holly Ridge NC 28445-7826 Ph: (910) 329-8191 |
| NPI Number | 1093258162 |
|---|---|
| Provider Enumeration Date | 11/22/2016 |
| Last Update Date | 11/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093258162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6641 (North Carolina) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
Riccobene Associates Family Dentistry- Holly Ridge Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Us Highway 17 N, Holly Ridge, NC 28445 Phone: 910-329-8191 |