Organization Active NPI

White Oak Dental Office PLLC

  • General Practice Dentistry
  • Jamestown, TN
National Provider Identifier
1679939995
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS7982 Issued in TN
Legal business name
WHITE OAK DENTAL OFFICE PLLC
Practice address
214 N Main St
Jamestown, TN 38556-3748
Phone
(931) 879-5834
Fax
(931) 879-3811
NPI assigned
Jan 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Authorized official

Name
Jeremy Wayne Robinson, DDS
Title
DDS/Owner
Phone
(931) 879-5834

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DS9846 TN
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DS7982 TN Primary

Addresses

Primary practice location

214 N Main St
Jamestown, TN 38556-3748

Mailing address

214 N Main St
Jamestown, TN 38556-3748
Phone (931) 879-5834

National Provider Directory

National Provider Directory

Locations

214 N Main St
Jamestown, TN 38556
Phone (931) 879-5834

Practitioners & affiliated clinicians

Practitioners 2

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": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1679939995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 N MAIN ST",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385563748",
            "telephone_number": "931-879-5834",
            "fax_number": "931-879-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N MAIN ST",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385563748",
            "telephone_number": "931-879-5834",
            "fax_number": "931-879-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK DENTAL OFFICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "931-879-5834",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS9846",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS7982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.