Stephen Donald White in La Mesa - General Practice

Stephen Donald White - NPI 1639199458

Stephen Donald White is a General Practice in La Mesa, California. Stephen Donald White practices all healthcare services and medical treatments related to General Practice. The NPI Number for Stephen Donald White is 1639199458. The last update date is 2007-07-08.

Stephen Donald White's current location address is 3651 Avocado Blvd, La Mesa, California. You can contact this provider via phone number 6196701907 and fax number 6196701906. The mailing address for Stephen Donald White is 3651 Avocado Blvd, La Mesa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen Donald White
Address 3651 Avocado Blvd, La Mesa, California
Phone Number 6196701907
Fax Number 6196701906
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1639199458
Provider Enumeration Date 2006-07-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3651 Avocado Blvd
City La Mesa
State California (CA)
Post Code 919417337
Phone Number 6196701907
Fax Number 6196701906

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 38148
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
684708 CA TDP UNITED CPNCORDIA

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FAQs about Stephen Donald White

What is the Stephen Donald White's 1639199458?

The Stephen Donald White's NPI (National Provider Identifier) Number is 1639199458. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Stephen Donald White is physically located?

The Stephen Donald White is situated at the following address: 3651 Avocado Blvd, La Mesa, CA 919417337.

What is Stephen Donald White's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Stephen Donald White is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1639199458 to Stephen Donald White?

The Centers for Medicare & Medicaid Services originally issued the 1639199458 to Stephen Donald White on 2006-07-21.

When was the information regarding Stephen Donald White most recently updated?

The details pertaining to the Stephen Donald White, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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