Javonne Mckoy White in Fairburn - Orthodontics And Dentofacial Orthopedics
Javonne Mckoy White - NPI 1316916919
Javonne Mckoy White is a Orthodontics And Dentofacial Orthopedics in Fairburn, Georgia. Javonne Mckoy White practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Javonne Mckoy White is 1316916919. The last update date is 2014-04-16.
Javonne Mckoy White's current location address is 168 Nw Broad St, Fairburn, Georgia. You can contact this provider via phone number 7709641545 and fax number 7709641031. The mailing address for Javonne Mckoy White is 168 Nw Broad St, Fairburn, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Javonne Mckoy White |
|---|---|
| Address | 168 Nw Broad St, Fairburn, Georgia |
| Phone Number | 7709641545 |
| Fax Number | 7709641031 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1316916919 |
|---|---|
| Provider Enumeration Date | 2006-03-16 |
| Last Updated Date | 2014-04-16 |
Provider Mailing Address Detail
| Address | 168 Nw Broad St |
|---|---|
| City | Fairburn |
| State | Georgia (GA) |
| Post Code | 302131436 |
| Phone Number | 7709641545 |
| Fax Number | 7709641031 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | DN012650 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 452419657A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Javonne Mckoy White by the Centers for Medicare & Medicaid Services?
The Javonne Mckoy White has been issued the NPI (National Provider Identifier) 1316916919 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Javonne Mckoy White located?
The Javonne Mckoy White is located at 168 Nw Broad St, Fairburn, GA 302131436.
What is the Javonne Mckoy White's specialty and taxonomy code?
The Javonne Mckoy White's specialty is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code is 1223X0400X.
On what date was the 1316916919 assigned to Javonne Mckoy White?
The Javonne Mckoy White was issued its 1316916919 on 2006-03-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Javonne Mckoy White last refreshed?
The information related to the Javonne Mckoy White, including its address, specialty, and other relevant details, was last updated on 2014-04-16.