White, Douglas Jack

White, Douglas Jack is an individual health care provider with primary practice located at 110 E Fayette St , Pittsfield IL 62363-1949. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. White, Douglas Jack can be contacted via phone (217) 285-5553.

Contact Information

Primary practice address
110 E Fayette St Pittsfield IL 62363-1949
Phone: (217) 285-5553
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1568682342
LBN Legal business name White, Douglas Jack
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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