White, Elizabeth S

White, Elizabeth S is an sole proprietor health care provider with primary practice located at 102 Metro Dr , Dothan AL 36303-1985. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. White, Elizabeth S can be contacted via phone (334) 792-1962.

Contact Information

Primary practice address
102 Metro Dr Dothan AL 36303-1985
Fax: (334) 792-3637
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 4203 Alabama

Profile Details

NPI number 1528086667
LBN Legal business name White, Elizabeth S
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528086667 NPPES
Alabama Other 00830574 UNITED CONCORDIA PROVIDER
Alabama Other 91755 UNITED CONCORDIA PROVIDER

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