# WHITE SMILES PEDIATRIC DENTISTRY

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

## Provider details

- **NPI number:** 1881257657
- **Authorized official:** DR. TRAVIS R. WHITE DMD (OWNER)
- **Authorized official phone:** (435) 789-7533

## Contact information

- **Practice address:** 787 W HIGHWAY 40, VERNAL, UT 84078-2427
- **Practice address phone:** (435) 789-7533
- **Practice address fax:** (435) 789-7532
- **Mailing address:** 787 W HIGHWAY 40, VERNAL, UT 84078-2427
- **Mailing address phone:** (435) 789-7533
- **Mailing address fax:** (435) 789-7532

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/17/2019
- **Last updated:** 04/17/2019