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NPI Code Detail

MEDICARE: DR. LEW DAVID WHITE DDS

MEDICARE: DR. LEW DAVID WHITE DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry12699TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1B12699-01OTHERTXCHIPS

General Provider Information

NPI Number : 1144233354
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEW DAVID WHITE DDS
Provider Business Mailing Address
First Line : 1007 W SAN ANTONIO ST
Second Line :
City : LOCKHART
State : TX
Zip : 78644-2421
Country : US
Telephone Number : 512-398-3123
Fax Number : 512-376-5620
Provider Business Practice Location Address
First Line : 1007 W SAN ANTONIO ST
Second Line :
City : LOCKHART
State : TX
Zip : 78644-2421
Country : US
Telephone Number : 512-398-3123
Fax Number : 512-376-5620
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2006
Last Update Date : 07/09/2007

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Directions to “ DR. LEW DAVID WHITE DDS” Practice Location

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