David H White DMD LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DAVID H WHITE DMD LLC

Practice address

1600 NW Hughwood CT
Roseburg, OR 97471-8844

Phone

(541) 673-6525

Fax

(541) 672-6414

NPI assigned

Dec 22, 2023

Organization subpart

No

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

Authorized official

Name

David H White, DMDNPI 1578692315

Title

Owner

Phone

(541) 673-6525

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hucrest Family and Implant Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David H White, DMD

  • General Practice Dentistry
  • Roseburg, OR
  • NPI 1578692315
  NPD Authorized official
• David H Eichman, DDS

  • General Practice Dentistry
  • Roseburg, OR
  • NPI 1295746410
  NPD (past)

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1235908872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 NW HUGHWOOD CT",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718844",
            "telephone_number": "541-673-6525",
            "fax_number": "541-672-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 NW HUGHWOOD CT",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718844",
            "telephone_number": "541-673-6525",
            "fax_number": "541-672-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID H WHITE DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-22",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-673-6525",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598852303",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hucrest Family and Implant Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bonnie Jinnette Daulerman
• John F Dauterman, MD
• Joel R Daven, MD
• Conor Lee Davenport, DO
• David E Owens MD PC
• David S. Weingarten, M.D., PC
• Alyssa Davidson, LCSW
• Peter James Davidson, MD
• Adam David Davis, DMD
• Amy A Davis

• Dental Clinic/Center in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.