Derrek White in Manchaca - Dentist

Derrek White - NPI 1972611457

Derrek White is a Dentist in Manchaca, Texas. Derrek White practices all healthcare services and medical treatments related to Dentist. The NPI Number for Derrek White is 1972611457. The last update date is 2008-05-18.

Derrek White's current location address is Po Box 2034, Manchaca, Texas. You can contact this provider via phone number 5125350494 and fax number 5126979328. The mailing address for Derrek White is Po Box 2034, Manchaca, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Derrek White
Address Po Box 2034, Manchaca, Texas
Phone Number 5125350494
Fax Number 5126979328
Sole Proprietor Y
Credentials DMD, MPH

NPI Number Detail

NPI Number 1972611457
Provider Enumeration Date 2006-08-26
Last Updated Date 2008-05-18

Provider Mailing Address Detail

Address Po Box 2034
City Manchaca
State Texas (TX)
Post Code 786522034
Phone Number 5125350494
Fax Number 5126979328

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 19819
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Derrek White

What is the unique 10-digit identifier code issued to Derrek White by the Centers for Medicare & Medicaid Services?

The Derrek White has been assigned the NPI (National Provider Identifier) 1972611457 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Derrek White?

The Derrek White is physically situated at Po Box 2034, in the city of Manchaca, state of TX, with the postal code 786522034.

What is the Derrek White's area of specialization and corresponding taxonomy classification?

The Derrek White's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1972611457 to Derrek White?

The Centers for Medicare & Medicaid Services assigned the 1972611457 to Derrek White on 2006-08-26.

As of what date were the details related to Derrek White most recently updated or revised?

The information pertaining to Derrek White, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-18.

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