Individual provider Active NPI

Yesylle Marie White, DMD

  • Dentist
  • Anniston, AL
National Provider Identifier
1902248354
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6037 Issued in AL
Practice address
230 E 10TH St
St 106
Anniston, AL 36207-5784
Phone
(256) 741-7340
NPI assigned
Jul 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6037 AL Primary

Addresses

Primary practice location

230 E 10TH St
St 106
Anniston, AL 36207-5784

Mailing address

387 Brandy Highland Dr
Oxford, AL 36203-4898
Phone (256) 238-3052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160204000886 AL Order and Referring Only - DentistPractitioner - Dentist 9931403391

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Yesyllewhite, DMD, LLC CurrentSince May 25, 2025 Accepting new patients

Locations

430 Snow St
Oxford, AL 36203
Phone (256) 238-3052

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.

NPI Registry JSON

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1902248354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 BRANDY HIGHLAND DR",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362034898",
            "telephone_number": "256-238-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E 10TH ST",
            "address_2": "ST 106",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075784",
            "telephone_number": "256-741-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "YESYLLE",
        "middle_name": "MARIE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-26",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "6037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.