Organization Active NPI

R L White Jr., DDS & Associates, PC

  • Dentist
  • Fairburn, GA
National Provider Identifier
1801046297
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DNO12581 Issued in GA
Legal business name
R L WHITE JR., DDS & ASSOCIATES, PC
Practice address
168 NW Broad St
Fairburn, GA 30213-1436
Phone
(770) 964-1545
Fax
(770) 964-1031
NPI assigned
Sep 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Dr. Robert Lee White Jr., DDSNPI 1942279310
Title
President
Phone
(770) 964-1545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DNO12581 GA Primary

Addresses

Primary practice location

168 NW Broad St
Fairburn, GA 30213-1436

Mailing address

168 NW Broad St
Fairburn, GA 30213-1436
Phone (770) 964-1545

National Provider Directory

National Provider Directory

Locations

168 NW Broad St
Fairburn, GA 30213
Phone (770) 964-1545

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": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1801046297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 NW BROAD ST",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302131436",
            "telephone_number": "770-964-1545",
            "fax_number": "770-964-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 NW BROAD ST",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302131436",
            "telephone_number": "770-964-1545",
            "fax_number": "770-964-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R L WHITE JR., DDS & ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-964-1545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DNO12581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.