Individual
DR. JACOB DANIEL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4000 E CAMPUS LOOP S, LINCOLN, NE 68583-1530
(402) 472-1333
Mailing address
4000 E CAMPUS LOOP S, LINCOLN, NE 68583-1530
(402) 472-1333
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8025
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/15/2023
Last updated
08/27/2024
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