Individual
JEFFERY M WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
13701 E MISSISSIPPI AVE, SUITE 300, AURORA, CO 80012-6141
(303) 344-2705
(303) 344-4125
Mailing address
13701 E MISSISSIPPI AVE, SUITE 300, AURORA, CO 80012-6141
(303) 344-2705
(303) 344-4125
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
05489
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02054898
—
CO
Enumeration date
07/12/2005
Last updated
07/08/2007
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