White Palm Dental PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WHITE PALM DENTAL PA

Doing business as

White Palm Dental

Practice address

2305 Vidina Dr
#103
Melbourne, FL 32940-8066

Phone

(321) 473-6920

Fax

(321) 473-6930

NPI assigned

Dec 27, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Lance Scott McGavin, DDSNPI 1841853710

Title

Owner

Phone

(321) 473-6920

Specialties & licenses 1

Addresses

Other names 1

• White Palm Dental Doing business as

Locations

Practitioners 1

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

• Lance Scott McGavin, DDS

  • General Practice Dentistry
  • Melbourne, FL
  • NPI 1841853710
  NPD Authorized official

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1245009687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 VIDINA DR",
            "address_2": "#103",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408066",
            "telephone_number": "321-473-6920",
            "fax_number": "321-473-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 VIDINA DR",
            "address_2": "#103",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408066",
            "telephone_number": "321-473-6920",
            "fax_number": "321-473-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE PALM DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "MCGAVIN",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-473-6920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "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": "White Palm Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joana Lin Wheeler
• Mark Lyle Wheeler, D.O.
• Allison Rinderknecht Wherry
• Whisperdove Health, Inc
• Whisperdove Health, Inc
• Ashley Noelle White, DNP
• Britney Evonne White, LCSW
• Deliece Legrande White, ACUPUNCTURE PHYS.
• Elizabeth E White, AUD
• Michael David White, PMHNP

• General Practice Dentistry in Melbourne, FL
• Providers in Melbourne, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.