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Dr. Clarice Rena White, DDS
General Practice Dentistry in Mason, Tennessee
NPI 1891776845

Clarice Rena White is a General Practice Dentistry based in Mason, TN and is specialized in General Practice. Clarice Rena White practices in Mason, TN and has the professional credentials of DDS. The NPI Number for Clarice Rena White is 1891776845 and holds a License No. ML0000008122 (Tennessee).

The current practice location address for Clarice Rena White is 12173 Main St Ste B, Mason, TN and can be reached out via phone at 901-294-2634 and via fax at 901-294-2639.

Location: 12173 Main St Ste B, Mason, TN, 38049-7054
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891776845
Provider Name
Clarice Rena White
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
12173 Main St Ste B, Mason, TN, 38049-7054
Phone Number
901-294-2634
Fax Number
901-294-2639
Provider Enumeration Date
11/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3225798 05 TN
4777 01 TN DORAL DENTAL
4098095 01 TN BLUECROSS BLUESHIELD
3205221 05 TN
DS005088 01 TN LICENSE
institution
Provider Business Practice Location Address Details
Address
12173 Main St Ste B
City
Mason
State
Tennessee
Zip
38049-7054
Phone Number
901-294-2634
Fax Number
901-294-2639
person
Provider Business Mailing Address Details
Address
12173 Main St Ste B
City
Mason
State
Tennessee
Zip
38049-7054
Phone Number
901-294-2634
Fax Number
901-294-2639
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DS0000005088 (Tennessee)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Medical Laboratory
Taxonomy
246RM2200X
License No.
ML0000008122 (Tennessee)
Definition
Definition to come...
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