Healthcare Provider Details

I. General information

NPI: 1760347330
Provider Name (Legal Business Name): WHITE DENTAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2514 W FREDDY GONZALEZ DR
EDINBURG TX
78539-7339
US

IV. Provider business mailing address

2908 LAKEWOOD
HARLINGEN TX
78550-7843
US

V. Phone/Fax

Practice location:
  • Phone: 956-270-4281
  • Fax:
Mailing address:
  • Phone: 956-202-1985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES DONALD WHITE
Title or Position: MANAGER
Credential: DMD
Phone: 956-202-1985