Provider Demographics
NPI:1881991479
Name:WHITE, DAVID ARTHUR SR (DDS)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ARTHUR
Last Name:WHITE
Suffix:SR
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:PO BOX 53
Mailing Address - Street 2:
Mailing Address - City:STUDLEY
Mailing Address - State:VA
Mailing Address - Zip Code:23162-0053
Mailing Address - Country:US
Mailing Address - Phone:804-559-6165
Mailing Address - Fax:
Practice Address - Street 1:1130 WILKINSON RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227-1623
Practice Address - Country:US
Practice Address - Phone:804-266-6050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-17
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401003059122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist