Individual
ROBERT THOMAS WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
946 E STATE ST, MASON CITY, IA 50401-4202
(641) 424-4521
(641) 424-8403
Mailing address
946 E STATE ST, MASON CITY, IA 50401-4202
(641) 424-4521
(641) 424-8403
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7516
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0454348
—
IA
01
—
3839
BLUE CROSS BLUE SHIELD
IA
01
—
7516
DELTA DENTAL
IA
Enumeration date
10/06/2006
Last updated
07/08/2007
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