White Blossom Dental PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

WHITE BLOSSOM DENTAL PLLC

Practice address

3200 FM 1460
BLDG 3, Suite 305
Georgetown, TX 78626

Phone

(737) 253-9535

NPI assigned

Sep 11, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Michelle ZinNPI 1225486863

Title

Pediatric Dentist

Phone

(737) 253-9535

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Zin, DDS

  • Pediatric Dentistry
  • Georgetown, TX
  • NPI 1225486863
  NPD Authorized official

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1871370262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 TEXON DR",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786422151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 FM 1460",
            "address_2": "BLDG 3, SUITE 305",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "78626",
            "telephone_number": "737-253-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE BLOSSOM DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "ZIN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "737-253-9535",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesleyan Homes, Inc. (The Wesleyan at Scenic)
• Wesleyan Homes, Inc. (Wesleyan Hospice - Georgetown, TX)
• Wesleyan Homes, Inc. (Wesleyan Home Health - Georgetown, TX)
• West Texas Medical Supply
• Danielle Terryl West, MA LPC
• Caitlin Noto White, FNP-BC
• Ernest William White
• James Edward White, PT
• Jena Whitley, MS, ATC, LAT
• Melissa Kaye Whitsett, LPC

• Pediatric Dentistry in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.