Thomas George White, D.D.S. Valid NPI
Individual provider · General Practice Dentistry · O Fallon, MO
- NPI
- 1326057407
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 12326 (MO)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-08-06
- Last updated
- 2007-07-08
Practice location
1043 E Terra Ln
O Fallon, MO 63366-2750
(636) 240-7606