Active NPI
Benjamin Clark White, DDS
- Dentist
- Pensacola, FL
National Provider Identifier
1831577725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN21409
- Practice address
- 1108 N 12TH Ave
Suite C
Pensacola, FL 32501-3308 - Phone
- (850) 912-8877
- NPI assigned
- May 11, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN21409 | FL | Primary |
Addresses
Primary practice location
1108 N 12TH Ave
Suite C
Pensacola, FL 32501-3308
Mailing address
402 Navarre St
Gulf Breeze, FL 32561-4134
Phone (850) 816-8787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN21409 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Ben White DDS LLC | Current | Accepting new patients |
Locations
1108 N 12th Ave
#C
Pensacola, FL 32501
Phone (850) 475-5392
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Pensacola, FL
- NPI 1609621788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494288000000",
"number": "1831577725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 NAVARRE ST",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325614134",
"telephone_number": "850-816-8787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 N 12TH AVE",
"address_2": "SUITE C",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325013308",
"telephone_number": "850-912-8877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "BENJAMIN",
"middle_name": "CLARK",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-11",
"last_updated": "2017-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN21409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
- Whispering Pines Assisted Living Facility LLC
- Sonja Martina Stefanie Whitaker, M.D., PH.D.
- White Sands Counseling Center
- White Sands Natural Health LLC
- Andrew White, OD
- Benjamin Thomas White, IDHS, ACLS, PALS
- Brandon White, RBT
- Catherine Willson White
- Chenita L White, PHARM.D.
- Elizabeth Claire White, AU.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.