Gerald G. White, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4821 Issued in AL

Legal business name

GERALD G. WHITE, DDS, PC

Practice address

6164 Omni Park Dr
Mobile, AL 36609-5195

Phone

(251) 343-8000

NPI assigned

Jun 2, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gerald Grenier White, DDSNPI 1285773580

Title

President

Phone

(251) 343-8000

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Gerald Grenier White, D.D.S.

  • General Practice Dentistry
  • Mobile, AL
  • NPI 1285773580
  NPD (past) Authorized official

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104354232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6164 OMNI PARK DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095195",
            "telephone_number": "251-343-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6164 OMNI PARK DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095195",
            "telephone_number": "251-343-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD G. WHITE, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "GRENIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-343-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009960150",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "51075993WHI",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey R George, MD
• Kamryn H George, OTD, OTR/L
• Shan R George, N.P.
• Jeremias Georgiadis, MD
• Vanessa Georgiadis
• Emily Gerald
• Nicholas Oscar Gerard III, MD
• Geriatric Specialists LLC
• Chelsea Marie Geter
• William C. Gewin, M.D.

• General Practice Dentistry in Mobile, AL
• Providers in Mobile, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.