MEDICARE: DR. JASON R WHITE D.D.S.

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	122300000X	Dentist	DS009007	TN

General Provider Information

NPI Number	:	1477781847
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON R WHITE D.D.S.

Provider Business Mailing Address
First Line	:	3326 ASPEN GROVE DR
Second Line	:	#255
City	:	FRANKLIN
State	:	TN
Zip	:	37067-2837
Country	:	US
Telephone Number	:	615-778-1441
Fax Number	:	615-771-0534

Provider Business Practice Location Address
First Line	:	3326 ASPEN GROVE DR
Second Line	:	#255
City	:	FRANKLIN
State	:	TN
Zip	:	37067-2837
Country	:	US
Telephone Number	:	615-778-1441
Fax Number	:	615-771-0534

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

Provider Enumeration Date	:	06/24/2009
Last Update Date	:	03/03/2014

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