Maya Simone White, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

4472-24 Issued in MS

Practice address

8179 McGregor Xing
Olive Branch, MS 38654-1408

Phone

(662) 408-3352

NPI assigned

Apr 6, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Maya Simone White Professional name

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": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1861133365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8179 MCGREGOR XING",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386541408",
            "telephone_number": "662-408-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8179 MCGREGOR XING",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386541408",
            "telephone_number": "662-408-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MAYA",
        "middle_name": "SIMONE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "12018",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "4472-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYA",
            "last_name": "WHITE",
            "middle_name": "SIMONE",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Synterika Shanta Welch
• Christopher Joseph Wells
• Shuntay Latrice Wesby, APRN
• Joy Wheeler
• Atricia R White, FNP
• Shiquita White, DC
• David Ray Wilkins II, PHD
• Y'Esha Williams-Click, PHD, DNP, PMHNP-BC
• Adrienne Williams, PMHNP
• Danny Williams Jr.

• Dentist in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.