Cecil White in Jacksonville - Periodontics

Cecil White - NPI 1487698528

Cecil White is a Periodontics in Jacksonville, Florida. Cecil White practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Cecil White is 1487698528. The last update date is 2007-07-08.

Cecil White's current location address is 2080 Child St, Jacksonville, Florida. You can contact this provider via phone number 9042704467 and fax number 9042704478. The mailing address for Cecil White is 2080 Child St, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Cecil White
Address 2080 Child St, Jacksonville, Florida
Phone Number 9042704467
Fax Number 9042704478
Sole Proprietor X
Credentials D.M.D.

NPI Number Detail

NPI Number 1487698528
Provider Enumeration Date 2006-06-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2080 Child St
City Jacksonville
State Florida (FL)
Post Code 322145005
Phone Number 9042704467
Fax Number 9042704478

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No DN 9020
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about Cecil White

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

The Cecil White has been assigned the NPI (National Provider Identifier) 1487698528 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Cecil White located?

The Cecil White is located at 2080 Child St, Jacksonville, FL 322145005.

What is Cecil White's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Cecil White is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1487698528 to Cecil White?

The Centers for Medicare & Medicaid Services originally issued the 1487698528 to Cecil White on 2006-06-16.

As of what date was the information pertaining to Cecil White, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Cecil White, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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