# DR. CLARICE RENA WHITE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1891776845
- **Gender:** F
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS0000005088 | TN | Yes |
| 246RM2200X | Medical Laboratory Technician | ML0000008122 | TN | — |

## Other

- **Enumeration date:** 11/08/2005
- **Last updated:** 06/14/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3205221 | — | TN |
| 05 | — | 3225798 | — | TN |
| 01 | — | 4098095 | BLUECROSS BLUESHIELD | TN |
| 01 | — | 4777 | DORAL DENTAL | TN |
| 01 | — | DS005088 | LICENSE | TN |