Clarice Rena White in Mason - General Practice
Clarice Rena White - NPI 1891776845
Clarice Rena White is a General Practice in Mason, Tennessee. Clarice Rena White practices all healthcare services and medical treatments related to General Practice. The NPI Number for Clarice Rena White is 1891776845. The last update date is 2017-06-14.
Clarice Rena White's current location address is 12173 Main St, Mason, Tennessee. You can contact this provider via phone number 9012942634 and fax number 9012942639. The mailing address for Clarice Rena White is 12173 Main St, Mason, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clarice Rena White |
|---|---|
| Address | 12173 Main St, Mason, Tennessee |
| Phone Number | 9012942634 |
| Fax Number | 9012942639 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1891776845 |
|---|---|
| Provider Enumeration Date | 2005-11-08 |
| Last Updated Date | 2017-06-14 |
Provider Mailing Address Detail
| Address | 12173 Main St |
|---|---|
| City | Mason |
| State | Tennessee (TN) |
| Post Code | 380497054 |
| Phone Number | 9012942634 |
| Fax Number | 9012942639 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DS0000005088 |
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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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3225798 | TN | -- | |
| 4777 | TN | DORAL DENTAL | |
| 4098095 | TN | BLUECROSS BLUESHIELD | |
| 3205221 | TN | -- | |
| DS005088 | TN | LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Clarice Rena White?
The Clarice Rena White has been issued the NPI (National Provider Identifier) 1891776845 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Clarice Rena White's facilities are situated?
The facilities of Clarice Rena White are physically located at the following address: 12173 Main St, Mason, TN, 380497054.
What is the Clarice Rena White's area of specialization and corresponding taxonomy classification?
The Clarice Rena White's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Clarice Rena White receive its 1891776845 assignment from the Centers for Medicare & Medicaid Services?
The Clarice Rena White was assigned its 1891776845 by the Centers for Medicare & Medicaid Services on 2005-11-08.
As of what date were the details related to Clarice Rena White most recently updated or revised?
The information pertaining to Clarice Rena White, including its address, specialty, and other relevant details, was last updated or revised on 2017-06-14.
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