Organization Active NPI

White Dental Studio PC

  • General Practice Dentistry
  • Ashland, OR
National Provider Identifier
1457722134
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D8919 Issued in OR
Legal business name
WHITE DENTAL STUDIO PC
Practice address
727 N Main St
Ashland, OR 97520-1752
Phone
(541) 708-6288
Fax
(541) 708-6278
NPI assigned
Oct 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Dr. Brandon Adam White, DDSNPI 1336325505
Title
Owner/President
Phone
(541) 708-6288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D8919 OR Primary

Addresses

Primary practice location

727 N Main St
Ashland, OR 97520-1752

Mailing address

727 N Main St
Ashland, OR 97520-1752
Phone (541) 708-6288

National Provider Directory

National Provider Directory

Locations

727 N Main St
Ashland, OR 97520
Phone (541) 708-6288

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1457722134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 N MAIN ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201752",
            "telephone_number": "541-708-6288",
            "fax_number": "541-708-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 N MAIN ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201752",
            "telephone_number": "541-708-6288",
            "fax_number": "541-708-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE DENTAL STUDIO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "541-708-6288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.