Individual provider · Type 1 NPI

Gordon Richard White, D.D.S

Periodontics · St. Louis, MO

NPI number 1720158850 Active

Practice location

2821 N Ballas Rd, Suite 260
St. Louis, MO 63131-2321

Call (314) 567-4850 Map

Fax (314) 567-5877

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X11033 (MO)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1720158850

Gordon Richard White, D.D.S's National Provider Identifier is 1720158850, issued on Nov 8, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in St. Louis, MO. The record was last updated on Jul 8, 2007.