White Smiles Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

13202 Issued in MN

Legal business name

WHITE SMILES FAMILY DENTISTRY

Practice address

6563 Laketowne PL
A
Albertville, MN 55301-4510

Phone

(985) 630-2306

NPI assigned

Oct 24, 2014

Last updated

Sep 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dustin Christopher White, DDS

Title

Owner

Phone

(763) 515-3615

Specialties & licenses 1

Addresses

Tax ID family

White Smiles Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• White Smiles Family Dentistry PLLC

  • Dentist
  • Minneapolis, MN
  • NPI 1831665603
  NPD tax ID

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1386049948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 PONDEROSA PL",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704487524",
            "telephone_number": "985-630-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6563 LAKETOWNE PL",
            "address_2": "A",
            "city": "ALBERTVILLE",
            "state": "MN",
            "postal_code": "553014510",
            "telephone_number": "985-630-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE SMILES FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-515-3615",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "13202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoua Vang
• Anna Christine Vogel, PAC
• Allison Wachal
• Heather Welch
• Jessica Min Hui Wen
• Sara Wigdahl
• Alexus Wood
• Michael Wotschke, DC
• Grayson Ziegler

• Dentist in Albertville, MN
• Providers in Albertville, MN by specialty
• Dentist in Minnesota

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