# DANIEL WHITE DDS PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710363395
- **Authorized official:** DR. DANIEL E WHITE DDS (OWNER)
- **Authorized official phone:** (574) 288-9400

## Contact information

- **Practice address:** 211 N SAINT PETER ST, SOUTH BEND, IN 46617-2823
- **Practice address phone:** (574) 288-9400
- **Practice address fax:** (574) 288-7100
- **Mailing address:** 211 N SAINT PETER ST, SOUTH BEND, IN 46617-2823
- **Mailing address phone:** (574) 288-9400
- **Mailing address fax:** (574) 288-7100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12007822 | IN | Yes |

## Other

- **Enumeration date:** 08/05/2015
- **Last updated:** 08/05/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100144280A | — | IN |