Individual
DR. JENNIFER ANN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
113 E 7TH STREET, PO BOX 310, MANTON, MI 49663
(231) 824-3711
(231) 824-3035
Mailing address
113 E 7TH STREET, PO BOX, MANTON, MI 49663
(231) 824-3711
(231) 824-3711
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901019404
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1883238
UNITED CONCORDIA
MI
01
—
D194040
BCBS
MI
Enumeration date
12/01/2006
Last updated
06/10/2024
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