Provider Demographics
NPI:1497881536
Name:WHITE, WINSTON SUMNER (DMD)
Entity Type:Individual
Prefix:DR
First Name:WINSTON
Middle Name:SUMNER
Last Name:WHITE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:WINSTON
Other - Middle Name:SUMNER
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD, FAGD, PLLC
Mailing Address - Street 1:9268 SORI LN
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-3610
Mailing Address - Country:US
Mailing Address - Phone:719-630-7520
Mailing Address - Fax:719-471-1903
Practice Address - Street 1:9268 SORI LN
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80126-3610
Practice Address - Country:US
Practice Address - Phone:719-630-7520
Practice Address - Fax:719-471-1903
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-25
Last Update Date:2018-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.001045381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice