MEDICARE: WHITNEY OLIVIA WHITE DDS

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	1223G0001X	General Practice Dentistry	7735	NV

General Provider Information

NPI Number	:	1821606674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WHITNEY OLIVIA WHITE DDS

Provider Business Mailing Address
First Line	:	4133 PEACEFUL MEADOW ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-1588
Country	:	US
Telephone Number	:	815-997-3633
Fax Number	:

Provider Business Practice Location Address
First Line	:	2050 E SERENE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-4820
Country	:	US
Telephone Number	:	815-997-3633
Fax Number	:

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

Provider Enumeration Date	:	07/17/2020
Last Update Date	:	04/30/2026

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Directions to “ WHITNEY OLIVIA WHITE DDS” Practice Location

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