Individual
DR. HEIDI KNIGHT WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
709 PETERSON AVE N, DOUGLAS, GA 31533-4911
(912) 384-0403
(912) 260-3188
Mailing address
709 PETERSON AVE N, DOUGLAS, GA 31533-4911
(912) 384-0403
(912) 260-3188
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013344
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
908126389K
—
GA
Enumeration date
08/11/2006
Last updated
02/13/2020
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