Provider Demographics
NPI:1780749226
Name:WHITE, JOSEPH D (DMD, MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:D
Last Name:WHITE
Suffix:
Gender:M
Credentials:DMD, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:113 NEW ROCHESTER RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-8800
Mailing Address - Country:US
Mailing Address - Phone:603-742-6555
Mailing Address - Fax:603-742-2908
Practice Address - Street 1:113 NEW ROCHESTER RD
Practice Address - Street 2:SUITE 2
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-8800
Practice Address - Country:US
Practice Address - Phone:603-742-6555
Practice Address - Fax:603-742-2908
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH7239207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH101020600OtherDEPARTMENT OF LABOR
NH3854821OtherCIGNA
NH040006791OtherRAILROAD MEDICARE
H004407OtherTRICARE
NH04482900OtherANTHEM BLUE CROSS
NH80008696Medicaid
NHAA2476OtherHARVARD PILGRIM
NH6930OtherHEALTHSOURCE
NH9681406OtherMVP
NH4344388OtherAETNA
NH3854821OtherCIGNA
NH80008696Medicaid