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General NPI Number Information
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NPI Number | 1285787051
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Entity Type | Organization
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Legal Business Name | WHITE, GREER AND MAGGARD, PSC
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3141 BEAUMONT CENTRE CIR SUITE 200
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City | LEXINGTON
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State | KY
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Zip | 40513-1934
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Country | US
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Telephone | 859-296-4846
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Fax | 859-296-2842
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Provider Business Mailing Address
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Address Line | 3141 BEAUMONT CENTRE CIR SUITE 200
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City | LEXINGTON
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State | KY
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Zip | 40513-1934
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Country | US
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Telephone | 859-296-4846
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Fax | 859-296-2842
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Authorized Official
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Title or Position | PARTNER
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Name | DR. J. GREG WHITE
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Credential | D.M.D.
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Telephone | 859-296-4846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 6263
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License Number State | KY
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