DR. KEITH DOUGLAS WHITE D.D.S. NPI 1790825602

NPI Information

  • NPI: 1790825602
  • Provider Name: DR. KEITH DOUGLAS WHITE, D.D.S.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2935 BREEZEWOOD AVE
    SUITE200
    FAYETTEVILLE, NC
    ZIP 28303
  • Phone: (910) 323-3133

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NPI Details

DR. Keith Douglas White, D.D.S. is a general practice dentist in Fayetteville, NC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Keith Douglas White, D.D.S. NPI is 1790825602. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2935 BREEZEWOOD AVE
SUITE200
FAYETTEVILLE, NC
ZIP 28303-284
Phone: (910) 323-3133
Fax: (910) 323-9616

The NPI 1790825602 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 2/8/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice8079NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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