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General NPI Number Information
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NPI Number | 1245607225
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Entity Type | Individual
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Provider Name | CHRISTOPHER WHITE DDS
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Gender | Male
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Dates
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Enumeration Date | 08/26/2015
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 1035 E WILCOX AVE
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City | WHITE CLOUD
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State | MI
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Zip | 49349-8794
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Country | US
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Telephone | 231-689-1608
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Fax | 231-745-0412
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Provider Business Mailing Address
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Address Line | 1140 N STATE ST
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City | SAINT IGNACE
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State | MI
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Zip | 49781-1048
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Country | US
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Telephone | 906-643-8689
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Fax | 906-643-6716
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901021646
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License Number State | MI
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