Kendra White, HYGENTIST

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH010417 Issued in GA

Practice address

1188 Ralph David Abernathy Blvd SW
Atlanta, GA 30310-1716

Phone

(404) 564-7749

NPI assigned

Aug 25, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1689459919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4652 CREEKSIDE VILLAS WAY SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300824895",
            "telephone_number": "404-495-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 RALPH DAVID ABERNATHY BLVD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101716",
            "telephone_number": "404-564-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KENDRA",
        "credential": "HYGENTIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "GA",
            "license": "DH010417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordyn White
• Justen White, LPN
• Kate Kositzky White, C-NP
• Katherine Victoria White, NP
• Kayla Alexxus White
• Kerri Lynne White, ATC
• Latonja Ann White
• Leah Ariane White
• Lydia Delbridge White
• Madeline White, PAAA

• Dental Hygienist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Dental Hygienist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.