Individual
DR. CLARICE RENA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12173 MAIN ST STE B, MASON, TN 38049-7054
(901) 294-2634
(901) 294-2639
Mailing address
12173 MAIN ST, SUITE B, MASON, TN 38049-7054
(901) 294-2634
(901) 294-2639
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS0000005088
TN
246RM2200X
Medical Laboratory Technician
ML0000008122
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3205221
—
TN
05
—
3225798
—
TN
01
—
4098095
BLUECROSS BLUESHIELD
TN
01
—
4777
DORAL DENTAL
TN
01
—
DS005088
LICENSE
TN
Enumeration date
11/08/2005
Last updated
06/14/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us