Jessica Rose White Harvey, DDS
Individual provider Active NPI General Practice Dentistry · Jbsa Lackland Afb, TX
NPI 1063727022 · NPPES record last updated Jan 18, 2024
Key facts
- NPI
- 1063727022
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 0401412982 (VA)
- Practice address
- 1100 Wilford Hall Loop
Jbsa Lackland Afb, TX 78236-5638 - Phone
- (210) 292-0123
- NPI assigned
- Aug 16, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401412982 | VA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401412982 | VA | Yes |
Addresses
Primary practice location
1100 Wilford Hall Loop
Jbsa Lackland Afb, TX 78236-5638
Mailing address
3346 Clearwater Dr
Clarksville, TN 37042-4550
Phone (931) 206-0614
Other providers in Jbsa Lackland Afb, TX
- Roger Louis Farney
- Michelle Lora Floyd
- Benjamin Jordan Franklin
- Phyllis Gallegos Santillan
- Blake Austin Harrell
- Shawn Knadler
- Seth Daniel Knapp
- Jason A Koskinen
- Jeffrey Alan Lawson
- Dena Louise Lewis
All providers in Jbsa Lackland Afb, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.