White Mountain Dentistry

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

AZ7350 Issued in AZ

Legal business name

WHITE MOUNTAIN DENTISTRY

Practice address

986 S Main St
Snowflake, AZ 85937-5500

Phone

(928) 536-5353

Fax

(928) 536-5753

NPI assigned

Mar 15, 2010

Last updated

Mar 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Benjamin L Tenney

Title

Owner

Phone

(928) 536-5353

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, and the practitioner matching its NPPES authorized official.

• James Randall Olson, DDS

  • Dentist
  • Snowflake, AZ
  • NPI 1639197809
  NPD (past)

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1942524335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986 S MAIN ST",
            "city": "SNOWFLAKE",
            "state": "AZ",
            "postal_code": "859375500",
            "telephone_number": "928-536-5353",
            "fax_number": "928-536-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "986 S MAIN ST",
            "city": "SNOWFLAKE",
            "state": "AZ",
            "postal_code": "859375500",
            "telephone_number": "928-536-5353",
            "fax_number": "928-536-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE MOUNTAIN DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "TENNEY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-536-5353",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "AZ",
            "license": "AZ7350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traumacare Institute, PLLC
• Stacy Lee Venditto, PHD
• Julia Lindzee Watson, M.S. SLP
• Valerie Webb, RN
• Craig Reed West, DDS
• White Mountain Eye Care Center PC
• Kenneth L. Wiltbank, D.C.
• Carol Lynn Winters, LCPC LPC CRC
• Debra Wood
• Justin James Woodside, D.C.

• Point of Service in Snowflake, AZ
• Providers in Snowflake, AZ by specialty
• Point of Service in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.