Provider Demographics
NPI:1639524499
Name:WHITE, ELIZABETH GARNER (DMD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:GARNER
Last Name:WHITE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:ELIZABETH
Other - Middle Name:MARGARET
Other - Last Name:GARNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:670 N COLLEGE ST STE D
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-3030
Mailing Address - Country:US
Mailing Address - Phone:334-209-1352
Mailing Address - Fax:
Practice Address - Street 1:670 N COLLEGE ST STE D
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-3030
Practice Address - Country:US
Practice Address - Phone:334-329-9828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-29
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
AL6312-C11223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program