White, Jason Edward

White, Jason Edward is an individual health care provider with primary practice located at 6565 Stage Rd Suite 2, Bartlett TN 38134-3830. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. White, Jason Edward can be contacted via phone (901) 382-4148.

Contact Information

Primary practice address
6565 Stage Rd Suite 2 Bartlett TN 38134-3830
Phone: (901) 382-4148
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 8733 Tennessee
Dental Providers / Pediatric Dentistry 1223P0221X 8733 Tennessee

Profile Details

NPI number 1831381037
LBN Legal business name White, Jason Edward
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2007
Last updated Mar 3rd, 2020 - about 5 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 1831381037 NPPES
Tennessee MEDICAID Q013687

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