Organization Active NPI

White House Dental, PLLC

  • Dentist
  • White House, TN
National Provider Identifier
1508220070
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9273 Issued in TN
Legal business name
WHITE HOUSE DENTAL, PLLC
Practice address
323 West Dr
White House, TN 37188-9294
Phone
(615) 581-5000
Fax
(615) 672-0096
NPI assigned
Apr 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Authorized official

Name
Dr. Jennifer Lynn Sanford, DMD
Title
Dentist/Owner
Phone
(615) 581-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 9273 TN Primary

Addresses

Primary practice location

323 West Dr
White House, TN 37188-9294

Mailing address

323 West Dr
White House, TN 37188-9294
Phone (615) 581-5000

National Provider Directory

National Provider Directory

Locations

323 West Dr
White House, TN 37188
Phone (615) 325-4677

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1508220070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 WEST DR",
            "city": "WHITE HOUSE",
            "state": "TN",
            "postal_code": "371889294",
            "telephone_number": "615-581-5000",
            "fax_number": "615-672-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 WEST DR",
            "city": "WHITE HOUSE",
            "state": "TN",
            "postal_code": "371889294",
            "telephone_number": "615-581-5000",
            "fax_number": "615-672-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE HOUSE DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "SANFORD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "615-581-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "9273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White House, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.