Active NPI
David Granville White, D.D.S.
- Dentist
- Muncy, PA
National Provider Identifier
1043758501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS022559L
- Practice address
- 6454 Route 405 Hwy
Muncy, PA 17756-6388 - Phone
- (570) 546-3171
- Fax
- (570) 547-0766
- NPI assigned
- Feb 5, 2017
- Last updated
- Feb 5, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS022559L | PA | Primary |
Addresses
Primary practice location
6454 Route 405 Hwy
Muncy, PA 17756-6388
Mailing address
215 Hideaway HL
Selinsgrove, PA 17870-8271
Phone (570) 374-0032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS022559L | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486252800000",
"number": "1043758501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 HIDEAWAY HL",
"city": "SELINSGROVE",
"state": "PA",
"postal_code": "178708271",
"telephone_number": "570-374-0032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6454 ROUTE 405 HWY",
"city": "MUNCY",
"state": "PA",
"postal_code": "177566388",
"telephone_number": "570-546-3171",
"fax_number": "570-547-0766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "DAVID",
"middle_name": "GRANVILLE",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-05",
"last_updated": "2017-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS022559L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muncy, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.