Kelly Loy White, DDS is a
Dentist - General Practice based in Princeton, Wisconsin. Kelly Loy White is licensed to practice in Wisconsin (license number WI3155) and his current practice location is
617 W Water St, Princeton, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 295-6350.
NPI number for Kelly Loy White is 1659498673 and his current mailing address is 169 Memorial Dr, Berlin, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659498673.
Healthcare Provider's Profile
Full Name | Kelly Loy White |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 617 W Water St, Princeton, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659498673
- Provider Enumeration Date: 03/23/2007
- Last Update Date: 05/10/2022
Medical Identifiers
Medical identifiers for Kelly Loy White such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659498673 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | WI3155 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Loy White is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly Loy White, DDS 169 Memorial Dr, Berlin, WI 54923-1241 Ph: (920) 361-3080 | Kelly Loy White, DDS 617 W Water St, Princeton, WI 54968-9144 Ph: (920) 295-6350 |
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