| Michael S. White | |
|
446 Walnut St Colorado City TX 79512-6222 | |
| (325) 728-3151 | |
| Not Available |
| Full Name | Michael S. White |
|---|---|
| Speciality | Dentist |
| Location | 446 Walnut St, Colorado City, Texas |
| Authorized Official Name and Position | Tabbatha S White (RDH) |
| Authorized Official Contact | 3257283151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael S. White 446 Walnut St Colorado City TX 79512-6222 Ph: (325) 728-3151 | Michael S. White 446 Walnut St Colorado City TX 79512-6222 Ph: (325) 728-3151 |
| NPI Number | 1265695787 |
|---|---|
| Provider Enumeration Date | 07/03/2008 |
| Last Update Date | 07/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265695787 | NPI | - | NPPES |
| 009572102 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19451 (Texas) | Primary |