Active NPI
Gregory Daniel White, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Williamsville, NY
National Provider Identifier
1154764793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 059138
- Practice address
- 6599 Main St
Williamsville, NY 14221-5820 - Phone
- (716) 333-7873
- NPI assigned
- Apr 13, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 059138 | NY | Primary |
Addresses
Primary practice location
6599 Main St
Williamsville, NY 14221-5820
Mailing address
80 Rollingwood St
Williamsville, NY 14221-1834
Phone (716) 903-3274
Other practice location 1
1947 Ridge Rd
West Seneca, NY 14224-3339
Phone (716) 675-9777
Other practice location 2
200 Albert Sabin Way
Cincinnati, OH 45267-0461
Phone (513) 584-2586
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 059138 | NY | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Oral Surgery Alliance of Upstate New York, PLLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Depew, NY
- NPI 1740088608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1154764793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 ROLLINGWOOD ST",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142211834",
"telephone_number": "716-903-3274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6599 MAIN ST",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215820",
"telephone_number": "716-333-7873"
}
],
"practiceLocations": [
{
"address_1": "1947 Ridge Rd",
"address_purpose": "LOCATION",
"city": "West Seneca",
"state": "NY",
"postal_code": "142243339",
"country_code": "US",
"telephone_number": "716-675-9777",
"fax_number": "716-675-9645",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Albert Sabin Way",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452670461",
"country_code": "US",
"telephone_number": "513-584-2586",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "GREGORY",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-13",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NY",
"license": "059138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.