Alan Leo White, D.D.S.
Individual provider Active NPI Dentist · Lynn, IN
NPI 1689787178 · NPPES record last updated Dec 6, 2010
Key facts
- NPI
- 1689787178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 12007000 (IN)
- Practice address
- 202 N. Main St.
Lynn, IN 47355-0035 - Phone
- (765) 874-2571
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12007000 | IN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frame Family Dentistry LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12007000 | IN | Yes |
Addresses
Primary practice location
202 N. Main St.
Lynn, IN 47355-0035
Mailing address
202 N. Main St.
Box 35
Lynn, IN 47355-0035
Phone (765) 874-2571
Other providers in Lynn, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.