Healthcare Provider Details

I. General information

NPI: 1639524499
Provider Name (Legal Business Name): ELIZABETH GARNER WHITE DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH MARGARET GARNER DMD

II. Dates (important events)

Enumeration Date: 04/29/2016
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

670 N COLLEGE ST STE D
AUBURN AL
36830-3030
US

IV. Provider business mailing address

670 N COLLEGE ST STE D
AUBURN AL
36830-3030
US

V. Phone/Fax

Practice location:
  • Phone: 334-329-9828
  • Fax:
Mailing address:
  • Phone: 334-209-1352
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number6312-C1
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: