Individual
HANNAH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5111 CLINTON DR, KOKOMO, IN 46902-7136
(317) 430-7777
Mailing address
5341 BROADWAY ST, INDIANAPOLIS, IN 46220-3137
(865) 305-9191
(865) 305-9442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12013401A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2020
Last updated
07/12/2021
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