White, Keith L

White, Keith L is an individual health care provider with primary practice located at 800 Rose St Rm D104 University Of Kentucky College Of Dentistry, Lexington KY 40536-0297. He recently has 4 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dental Public Health, Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Dentist is his primary health care specialty. White, Keith L can be contacted via phone (859) 257-1494.

Contact Information

Primary practice address
800 Rose St Rm D104 University Of Kentucky College Of Dentistry Lexington KY 40536-0297
Phone: (859) 257-1494
Fax: (859) 257-5859
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 6009 Kentucky
Dental Providers / Dental Public Health 1223D0001X 6009 Kentucky
Dental Providers / General Practice 1223G0001X 6009 Kentucky
Dental Providers / Pediatric Dentistry 1223P0221X 6009 Kentucky

Profile Details

NPI number 1972639870
LBN Legal business name White, Keith L
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Jan 16th, 2015 - about 9 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 1972639870 NPPES
Kentucky MEDICAID 60060092

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