Organization Active NPI

Stephen White DDS LLC

  • Dental Clinic/Center
  • Soldotna, AK
National Provider Identifier
1073888418
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1413 Issued in AK
Legal business name
STEPHEN WHITE DDS LLC
Practice address
44539 Sterling Hwy Ste 203
Soldotna, AK 99669-7920
Phone
(907) 262-8834
NPI assigned
Mar 19, 2012
Last updated
Mar 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Stephen Patrick White, DDS
Title
Manager
Phone
(907) 262-8834

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 1413 AK Primary

Addresses

Primary practice location

44539 Sterling Hwy Ste 203
Soldotna, AK 99669-7920

Mailing address

44539 Sterling Hwy Ste 203
Soldotna, AK 99669-7920
Phone (907) 262-8834

National Provider Directory

National Provider Directory

Locations

44539 Sterling Hwy
Ste 203
Soldotna, AK 99669
Phone (907) 260-2612

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1073888418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44539 STERLING HWY STE 203",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697920",
            "telephone_number": "907-262-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44539 STERLING HWY STE 203",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697920",
            "telephone_number": "907-262-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN WHITE DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "907-262-8834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AK",
            "license": "1413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.