Organization
HALLEY WHITE,DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALLEY R WHITE DDS,PA (DENTIST)
(910) 686-1869
Entity
Organization
Contact information
Practice address
8115 MARKET ST, STE 204, WILMINGTON, NC 28411-8427
(910) 686-1869
Mailing address
8115 MARKET ST, STE 204, WILMINGTON, NC 28411-8427
(910) 686-1869
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
7276
MS
1223P0221X
Pediatric Dentistry
Primary
7667
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5904426
—
NC
05
—
5920762
—
NC
Enumeration date
07/22/2013
Last updated
07/22/2013
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