Individual
DR. SCOT B. WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1717 EAST MAIN ST., CRAWFORDSVILLE, IN 47933
(765) 362-5341
(765) 362-5348
Mailing address
1717 E MAIN ST., CRAWFORDSVILLE, IN 47933
(765) 362-5341
(765) 362-5348
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009418
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100185810A
—
IN
01
—
110346
UNITED CONCORDIA
IN
Enumeration date
11/02/2006
Last updated
04/06/2017
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