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NPI 1063822799

NPI 1063822799 : DAVID CURTIS WHITE DDS : NAMPA, ID

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General NPI Number Information
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    NPI Number           |    1063822799
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID CURTIS WHITE DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/02/2014
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    Last Update Date     |    03/28/2023
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Provider Practice Location Address
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    Address Line         |    607 2ND ST S 
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    City                 |    NAMPA
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    State                |    ID
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    Zip                  |    83651-3837
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    Country              |    US
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    Telephone            |    208-466-2456
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7664 E LAFAYETTE ST 
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    City                 |    NAMPA
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    State                |    ID
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    Zip                  |    83687-4506
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    Country              |    US
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    Telephone            |    801-919-5293
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    D-5394
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    License Number State |    ID
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