Individual
DENNIS LEE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1100 W SCENIC RIVERS BLVD, SUITE A, SALEM, MO 65560-2811
(573) 729-4300
(573) 729-4359
Mailing address
1100 W SCENIC RIVERS BLVD, SUITE A, SALEM, MO 65560-2811
(573) 729-4300
(573) 729-4359
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02817
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109138
BCBS OF MO
MO
01
—
2200821
UNITED HEALTHCARE
—
05
—
312683105
—
MO
Enumeration date
04/06/2006
Last updated
05/06/2015
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