Provider Demographics
NPI:1184060857
Name:WHITE SMILES ORTHODONTICS PC
Entity type:Organization
Organization Name:WHITE SMILES ORTHODONTICS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIAN
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-969-7106
Mailing Address - Street 1:7270 HIGHWAY 6
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4690
Mailing Address - Country:US
Mailing Address - Phone:281-969-7106
Mailing Address - Fax:303-496-0708
Practice Address - Street 1:7270 HIGHWAY 6
Practice Address - Street 2:SUITE 300
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4690
Practice Address - Country:US
Practice Address - Phone:281-969-7106
Practice Address - Fax:303-496-0708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-21
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24371261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental