Jeffrey Lee White, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN123000 Issued in GA

Practice address

4374 Atlanta Hwy Ste 111
Hiram, GA 30141-1849

Phone

(770) 222-2322

NPI assigned

Jun 26, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pda Ortho Specialty of Georgia, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Acworth, GA
  • NPI 1982169173
  NPD (past)

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1174043657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 JEFFERSON AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402905",
            "telephone_number": "989-600-9837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4374 ATLANTA HWY STE 111",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301411849",
            "telephone_number": "770-222-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JEFFREY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-26",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN123000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany McCauley West
• Wgis, Inc. (West Georgia Imaging)
• Timothy James Whailen, LCSW
• Baley M White, DC
• Deidra White, NP
• Ashley Nicole Williams, M.D.
• Monica I Williams, RN
• Joseph Wilson
• Katherine Wilson, PT
• Tabitha Wilson

• Orthodontics and Dentofacial Orthopedics Dentistry in Hiram, GA
• Providers in Hiram, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.