MEDICARE: DR. JAMIE RAE WHITE D.M.D., M.S., DHSC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	D008101	AZ

General Provider Information

NPI Number	:	1093019804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMIE RAE WHITE D.M.D., M.S., DHSC

Provider Business Mailing Address
First Line	:	PO BOX 1263
Second Line	:
City	:	TUBAC
State	:	AZ
Zip	:	85646-1263
Country	:	US
Telephone Number	:	520-390-1982
Fax Number	:

Provider Business Practice Location Address
First Line	:	2107 PASEO SAN LUIS
Second Line	:
City	:	SIERRA VISTA
State	:	AZ
Zip	:	85635-4563
Country	:	US
Telephone Number	:	520-390-1982
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2011
Last Update Date	:	01/26/2015

Similar Medicare Providers

1386899573 — DR. NEAL LEBARON JONES D.D.S.
Practice Location Address:

2107 PASEO SAN LUIS
SIERRA VISTA, AZ
85635-4563

Practice Phone: 520-732-8631
Practice Fax:

1669970117 — BREANNE DICKENSON RDH
Practice Location Address:

2107 PASEO SAN LUIS
SIERRA VISTA, AZ
85635-4563

Practice Phone: 813-841-5838
Practice Fax: 813-841-5838

1194394585 — DR. STEWART ALLEN GLINES DMD
Practice Location Address:

2107 PASEO SAN LUIS
SIERRA VISTA, AZ
85635-4563

Practice Phone: 520-459-3067
Practice Fax:

1922142280 — DEBBIE SUZANNE DETRES
Practice Location Address:

1200 CARR 849 , CONDOMINIO VISTA VERDE APT. F228
SAN JUAN, PR
00924-4563

Practice Phone: 787-276-3456
Practice Fax:

1003132317 — KADY CRUZ ESTRADA 17872
Practice Location Address:

1200 CARR 849 , VISTA VERDE APT 334A
SAN JUAN, PR
00924-4563

Practice Phone: 787-969-1545
Practice Fax:

1881915627 — MAHIN GHANEVATI D.O., PH.D., M.S.
Practice Location Address:

191 S BUENA VISTA ST STE 220
BURBANK, CA
91505-4563

Practice Phone: 818-557-2671
Practice Fax:

Directions to “ DR. JAMIE RAE WHITE D.M.D., M.S., DHSC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.