Organization
DR. C. R. WHITE AND ASSOCIATES DENTAL CENTER,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARICE R WHITE DDS (OWNER/PRESIDENT)
(731) 548-2400
Entity
Organization
Contact information
Practice address
17 1ST ST E, STANTON, TN 38069-4426
(731) 548-2400
(731) 548-2099
Mailing address
PO BOX 310, STANTON, TN 38069-0310
(731) 548-2400
(731) 548-2099
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5088
TN
122300000X
Dentist
8059
TN
126800000X
Dental Assistant
11357
TN
126800000X
Dental Assistant
13532
TN
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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