Organization
JAMIE R WHITE DMD PC
Active
Other names
Phoenix Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE WHITE DMD (OWNER/GENERAL DENTIST)
(541) 535-4142
Entity
Organization
Contact information
Practice address
205 N PHOENIX RD STE 410, PHOENIX, OR 97535-9104
(541) 535-4142
(541) 535-3415
Mailing address
205 N PHOENIX RD STE 410, PHOENIX, OR 97535-9104
(541) 535-4142
(541) 535-3415
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437230521
NPI
OR
Enumeration date
03/01/2021
Last updated
11/02/2023
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