Individual
DR. JASON EDWARD WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6565 STAGE RD, SUITE 2, BARTLETT, TN 38134-3830
(901) 382-4148
Mailing address
6565 STAGE RD, SUITE 2, BARTLETT, TN 38134-3830
(901) 382-0280
(901) 791-0955
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8733
TN
1223P0221X
Pediatric Dentistry
Primary
8733
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q013687
—
TN
Enumeration date
08/13/2007
Last updated
03/03/2020
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