Marcia Stoddart White, D.D.S, M.S.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

059731 Issued in NY

Practice address

30 W Genesee St
Baldwinsville, NY 13027-1126

Phone

(334) 613-0018

Fax

(334) 239-8262

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1588714448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3084 WOODLEY RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361163149",
            "telephone_number": "334-613-0018",
            "fax_number": "334-239-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W GENESEE ST",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130271126",
            "telephone_number": "334-613-0018",
            "fax_number": "334-239-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MARCIA",
        "middle_name": "STODDART",
        "name_prefix": "Dr.",
        "credential": "D.D.S, M.S.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "5390 C",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "059731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51002229",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529924450",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nina Walton, LPN
• Kimberly Ann Way, RN
• Carrie Weaver, M.S. SPED
• Debra Webb
• Brynn Werme
• Lindsay Widrig, LMFT
• Kailee Elaine Willette, BAS
• Paige Williams, LMHC
• Andrea Marie Willis, CCC/SLP
• Heather Anne Wilsey, CASAC

• General Practice Dentistry in Baldwinsville, NY
• Providers in Baldwinsville, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.