Provider Demographics
NPI:1366483513
Name:WHITE, WILLIAM BECKWITH (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:BECKWITH
Last Name:WHITE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2015 N WATERMAN AVE
Mailing Address - Street 2:SUITE #A
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92404-4834
Mailing Address - Country:US
Mailing Address - Phone:909-881-1726
Mailing Address - Fax:
Practice Address - Street 1:2015 N WATERMAN AVE
Practice Address - Street 2:SUITE #A
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92404-4834
Practice Address - Country:US
Practice Address - Phone:909-881-1726
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21345122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist