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General NPI Number Information
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NPI Number | 1568665487
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Entity Type | Organization
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Legal Business Name | W. SCOTT WHITE D.D.S. P.C.
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 09/05/2020
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Provider Practice Location Address
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Address Line | 301 E 141ST ST
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City | GLENPOOL
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State | OK
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Zip | 74033-3537
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Country | US
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Telephone | 918-291-6000
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Fax | 918-291-2095
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Provider Business Mailing Address
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Address Line | 301 E 141ST ST
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City | GLENPOOL
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State | OK
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Zip | 74033-3537
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Country | US
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Telephone | 918-291-6000
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Fax | 918-291-2095
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM SCOTT WHITE
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Credential | DDS
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Telephone | 918-291-6000
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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 | 5651
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License Number State | OK
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