Individual
DR. JORDAN RANSOME WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3607 DAVIS DR STE 209, MORRISVILLE, NC 27560-6005
(919) 469-2122
Mailing address
1595 VAUGHAN CREEK RD, PENDLETON, NC 27862-7081
(252) 578-8299
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10665
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/14/2017
Last updated
08/14/2019
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