| Dr. C.r. White And Associates Dental Center,inc. | |
|
12173 Main St Ste B Mason TN 38049-7054 | |
| (901) 294-2634 | |
| (901) 294-2639 |
| Full Name | Dr. C.r. White And Associates Dental Center,inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12173 Main St Ste B, Mason, Tennessee |
| Authorized Official Name and Position | Clarice R White (OWNER/PRESIDENT) |
| Authorized Official Contact | 9012942634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. C.r. White And Associates Dental Center,inc. Po Box 310 Stanton TN 38069-0310 Ph: (901) 294-2634 | Dr. C.r. White And Associates Dental Center,inc. 12173 Main St Ste B Mason TN 38049-7054 Ph: (901) 294-2634 |
| NPI Number | 1235448598 |
|---|---|
| Provider Enumeration Date | 10/04/2010 |
| Last Update Date | 10/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235448598 | NPI | - | NPPES |
| 3225536 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5088 (Tennessee) | Primary |