J Cole White DDS PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

3780 Issued in AR

Legal business name

J COLE WHITE DDS PA

Practice address

2868 W Martin Luther King Blvd
Fayetteville, AR 72704-7625

Phone

(479) 249-8181

NPI assigned

Jul 25, 2018

Organization subpart

No

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

Authorized official

Name

Justin White, DDS

Title

Owner

Phone

(479) 270-2878

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1528545258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2868 W MARTIN LUTHER KING BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727047625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2868 W MARTIN LUTHER KING BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727047625",
            "telephone_number": "479-249-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J COLE WHITE DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-270-2878",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AR",
            "license": "3780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Michael Isaacson, D.O.
• Aneeqa Ishtiaq, M.S., LPC
• Marie N Isler
• Kristen Isles
• Jasmine Istre
• Tara J Jackson-Farmer
• Amber Adney Jackson, LCSW
• Carol Jackson, LISW - S, LICDC
• Charles David Jackson, MD
• Charles Mark Jackson, M.D.

• Dental Clinic/Center in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Dental Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.