| Gerald G. White, Dds, Pc | |
|
6164 Omni Park Dr Mobile AL 36609-5195 | |
| (251) 343-8000 | |
| Not Available |
| Full Name | Gerald G. White, Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6164 Omni Park Dr, Mobile, Alabama |
| Authorized Official Name and Position | Gerald Grenier White (PRESIDENT) |
| Authorized Official Contact | 2513438000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald G. White, Dds, Pc 6164 Omni Park Dr Mobile AL 36609-5195 Ph: (251) 343-8000 | Gerald G. White, Dds, Pc 6164 Omni Park Dr Mobile AL 36609-5195 Ph: (251) 343-8000 |
| NPI Number | 1104354232 |
|---|---|
| Provider Enumeration Date | 06/02/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104354232 | NPI | - | NPPES |
| 51075993WHI | Other | AL | BLUE CROSS BLUE SHIELD OF ALABAMA |
| 009960150 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4821 (Alabama) | Primary |
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