# JAY W. WHITE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1023017167
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | 34007897 | OH | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | 5101013470 | MI | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | 7612 | SD | Yes |

## Other

- **Enumeration date:** 07/20/2005
- **Last updated:** 05/18/2012