White Dental Limited Company PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

29866 Issued in TX

Legal business name

WHITE DENTAL LIMITED COMPANY PLLC

Practice address

3878 Oak Lawn Avenue Suite 310
Dallas, TX 75219

NPI assigned

Feb 6, 2018

Organization subpart

No

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

Authorized official

Name

E-Jan TungNPI 1336404409

Title

Owner

Phone

(214) 484-1064

Specialties & licenses 2

Addresses

Other names 1

• White Dental Spa Doing business as

Locations

Practitioners 3

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

• E-Jan Tung, D.D.S

  • Student in an Organized Health Care Education/Training Program
  • Staten Island, NY
  • NPI 1336404409
  NPD Authorized official
• Sara Chen, DMD

  • Dentist
  • Dallas, TX
  • NPI 1659850691
  NPD (past)
• Quinn Liu

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1376898924
  NPD (past)

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517875200000",
    "number": "1346749231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3878 OAK LAWN AVENUE SUITE 310",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75219",
            "telephone_number": "214-484-1064",
            "fax_number": "469-458-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3878 OAK LAWN AVENUE SUITE 310",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE DENTAL LIMITED COMPANY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-02-06",
        "status": "A",
        "authorized_official_last_name": "TUNG",
        "authorized_official_first_name": "E-JAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-484-1064"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "29866",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "29531",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Dental Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alita Whitaker
• Kali Whitaker
• Paige Marie Whitaker, MD
• Phillip Ray Whitaker, MD
• Sharron Whitaker, LBSW, MS, ICP
• Devin Martin White Kearns, PHARMD
• White Label Covid Labs LLC
• White Rock Adult Medicine Assoc PA
• White Rock Adultmedicine Assoc.
• White Rock Chiropractic Center

• Dental Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; 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.