Individual provider · Type 1 NPI
Jack Raymond White, DMD
General Practice Dentistry · San Diego, CA
NPI number
1467573675
Active
Practice location
2187 Garnet Ave
San Diego, CA 92109-3603
Fax (858) 272-0228
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 23686 (CA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1467573675
Jack Raymond White, DMD's National Provider Identifier is 1467573675, issued on Apr 3, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Diego, CA. The record was last updated on Jul 8, 2007.