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NPI Code Detail

MEDICARE: DR. THOMAS GEORGE WHITE JR. D.D.S.

MEDICARE:  DR. THOMAS GEORGE WHITE JR. D.D.S.
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 Dentistry12326MO

General Provider Information

NPI Number : 1326057407
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS GEORGE WHITE JR. D.D.S.
Provider Business Mailing Address
First Line : PO BOX 345
Second Line :
City : O FALLON
State : MO
Zip : 63366-0345
Country : US
Telephone Number : 636-240-7606
Fax Number : 636-240-8343
Provider Business Practice Location Address
First Line : 1043 E TERRA LN
Second Line :
City : O FALLON
State : MO
Zip : 63366-2750
Country : US
Telephone Number : 636-240-7606
Fax Number : 636-240-8343
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2006
Last Update Date : 07/08/2007

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Directions to “ DR. THOMAS GEORGE WHITE JR. D.D.S.” Practice Location

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