White, Whitney Rebecca
White, Whitney Rebecca is an sole proprietor health care provider with primary practice located at 140 Hammond St , Port Jervis NY 12771-2607. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. White, Whitney Rebecca can be contacted via phone (845) 858-2854.Contact Information
Primary practice address
140 Hammond St
Port Jervis NY 12771-2607
Phone: (845) 858-2854
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 060630 | New York |
| Dental Providers / General Practice | 1223G0001X | 060630 | New York |
Profile Details
| NPI number | 1184125551 |
|---|---|
| LBN Legal business name | White, Whitney Rebecca |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2018 |
| Last updated | Mar 18th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184125551 | NPPES |
| New York | MEDICAID | 05828217 |
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