Healthcare Provider Details

I. General information

NPI: 1891616942
Provider Name (Legal Business Name): WHITETOOTHINC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2183 MACDADE BLVD
HOLMES PA
19043-1210
US

IV. Provider business mailing address

2183 MACDADE BLVD
HOLMES PA
19043-1210
US

V. Phone/Fax

Practice location:
  • Phone: 610-461-6371
  • Fax: 484-494-5879
Mailing address:
  • Phone: 610-461-6371
  • Fax: 484-494-5879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: HALA ZEESHAN
Title or Position: DENTIST
Credential: DMD
Phone: 610-461-6371