White Smiles Family Dentistry PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WHITE SMILES FAMILY DENTISTRY PLLC

Practice address

1611 County Hwy 10
Minneapolis, MN 55432

Phone

(763) 717-3989

NPI assigned

Oct 19, 2018

Last updated

Oct 19, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

WHITE SMILES DENTISTRY PLLCAs reported in NPPES

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

Authorized official

Name

Dr. Dustin Christopher White, DDS

Title

Owner/Dentist

Phone

(985) 630-2306

Specialties & licenses 1

Addresses

Tax ID family

White Smiles Family Dentistry2 organizations share this tax ID, including this one

Part of

White Smiles Family Dentistry

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• White Smiles Family Dentistry

  • Dentist
  • Albertville, MN
  • NPI 1386049948
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539907200000",
    "number": "1831665603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 COUNTY HWY 10",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55432",
            "telephone_number": "763-717-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 COUNTY HWY 10",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55432",
            "telephone_number": "763-717-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE SMILES FAMILY DENTISTRY PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHITE SMILES DENTISTRY PLLC",
        "enumeration_date": "2018-10-19",
        "last_updated": "2018-10-19",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "985-630-2306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Louise Whillock, MD, PHD
• Whispers of Wellness Psychiatry PLLC
• Valerie Whitcomb, M.D.
• White Earth Band of Ojibwe (Urban MOMS Program)
• White Earth Band of Ojibwe (White Earth Urban MAT Program)
• Amy Lary White, LICSW
• Anne White, MD
• Brent White
• Carole J White
• Christine Brooks White, PSY.D.

• Dentist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.