Organization Active NPI

Higgins & White Dentistry PLLC

Doing business as Mantooth, Higgins & White Dentistry

  • General Practice Dentistry
  • Live Oak, FL
National Provider Identifier
1114622701
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HIGGINS & WHITE DENTISTRY PLLC
Doing business as
Mantooth, Higgins & White Dentistry
Practice address
602 Railroad Ave SE
Live Oak, FL 32064-3418
Phone
(386) 362-6556
NPI assigned
Apr 3, 2023
Last updated
Apr 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Marcus Higgins, DMDNPI 1366406225
Title
Denitst
Phone
(904) 881-6218

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

602 Railroad Ave SE
Live Oak, FL 32064-3418

Mailing address

602 Railroad Ave SE
Live Oak, FL 32064-3418
Phone (386) 362-6556

Other names 1

  • Mantooth, Higgins & White Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

602 Railroad Ave SE
Live Oak, FL 32064
Phone (386) 362-6556

Practitioners & affiliated clinicians

Practitioners 2

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": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1114622701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 RAILROAD AVE SE",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320643418",
            "telephone_number": "386-362-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 RAILROAD AVE SE",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320643418",
            "telephone_number": "386-362-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGGINS & WHITE DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "DENITST",
        "authorized_official_telephone_number": "904-881-6218",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mantooth, Higgins & White Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Live Oak, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.