# AN WHITE, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dental Domain
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265031793
- **Authorized official:** AN WHITE DDS (CEO)
- **Authorized official phone:** (832) 930-7847

## Contact information

- **Practice address:** 3607 S MAIN ST \# 107, STAFFORD, TX 77477-5406
- **Practice address phone:** (832) 930-7847
- **Practice address fax:** (281) 969-8032
- **Mailing address:** 3607 S MAIN ST \# 107, STAFFORD, TX 77477-5406
- **Mailing address phone:** (832) 930-7847

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/26/2020
- **Last updated:** 10/26/2020