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General NPI Number Information
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NPI Number | 1063941458
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Entity Type | Organization
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Legal Business Name | CALLAN WHITE DDS, PLLC
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 655 BREVARD ROAD
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City | ASHEVILLE
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State | NC
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Zip | 28806
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Country | US
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Telephone | 828-670-9394
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Fax |
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Provider Business Mailing Address
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Address Line | 655 BREVARD RD
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City | ASHEVILLE
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State | NC
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Zip | 28806-2229
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Country | US
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Telephone | 828-670-9394
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CALLAN D WHITE
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Credential | DDS
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Telephone | 828-670-9394
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 8614
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License Number State | NC
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