TYRESIA JOVON WHITE (NPI# 1346682754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346682754 |
| Entity Type | Individual |
| Full Name | TYRESIA JOVON WHITE |
| Credential | DMD |
| Practice Address |
440 Society Hill Dr Ste 201 Aiken SC 29803 |
| Mailing Address |
440 Society Hill Dr Ste 201 Aiken SC 29803-1755 |
| Practice Telephone | 8037168054 |
| Practice Fax Number | 8036421395 |
| Mailing Telephone | 8037168054 |
| Mailing Fax Number | 8036421395 |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2019-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
904 | SC | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Uk College of Dentistry, 800 Rose St Rm D-432, Lexington, KY 405360001 | 8593235391 | |
| 6a Cleveland Ct, Greenville, SC 296072414 | 8642830141 |
| Street Address |
440 SOCIETY HILL DR STE 201 |
| City | AIKEN |
| State | SC |
| Zip Code | 29803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871147454 | Augusta Oncology Associates, P.C. | Specialist | 222 University Parkway, Aiken, SC 29803 | 2019-07-31 |
| 1356804546 | Ebony Johnson | Home Health Aide | 942 C Dougherty Rd, Aiken, SC 29803 | 2019-04-13 |
| 1689144230 | Tabatha Lee Maddox | Occupational Therapist | 550 East Gate Dr, Aiken, SC 29803 | 2018-11-27 |
| 1962995100 | Pvd Internal Medicine Associates LLC | Internal Medicine | 440 Society Hill Dr Ste B, Aiken, SC 29803 | 2018-06-12 |
| 1689197691 | Trent David Yoder | Dentist | 174 Crepe Myrtle Drive, Aiken, SC 29803 | 2017-07-21 |
| 1770039331 | Lauren Reigot | Physical Therapist | 6140 Woodside Executive Ct., Aiken, SC 29803 | 2016-09-01 |
| 1851747190 | Umg Primary Care South Carolina, LLC | Family Medicine | 1023 Silver Bluff Road, Aiken, SC 29803 | 2016-05-05 |
| 1912375759 | Lisa G Browning | Nurse Practitioner | 550 E. Gate Drive, Aiken, SC 29803 | 2015-09-10 |
| 1528327483 | Caresouth Hospice, LLC | Hospice Care, Community Based | 37 Varden Drive, Suite B, Aiken, SC 29803 | 2012-05-14 |
| 1396015814 | Kathy Melinda Livingston | Nurse Anesthetist, Certified Registered | 526 Timberchase Lane, Aiken, SC 29803 | 2012-01-02 |
| Find all providers in zip 29803 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205845708 | Lexington R Shelley Jr. | Dentist | 1420 Richland Avenue W, Aiken, SC 29801 | 2006-08-05 |
| 1770612517 | Ronald Edward Parrish | Dentist | 120 Augusta Rd, Aiken, SC 29802 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851918882 | E.l. Centre Pointe Professional LLC | Dentist | 4965 Centre Pointe Dr Ste 100, North Charleston, SC 29418-6945 | 2020-06-25 |
| 1568084408 | Diane Jenkins Periodontics of Congaree, LLC | Dentist | 600 Congaree Rd, Greenville, SC 29607-3518 | 2020-05-14 |
| 1275016263 | R.e. Offutt, Dds, Ms and B.l. Cockerham Dds, Msp, Pllc | Dentist | 929 Market St, Fort Mill, SC 29708 | 2018-09-14 |
| 1447769831 | Beaufort Oral and Facial Surgery, LLC | Dentist | 968 Ribaut Rd Ste 3, Beaufort, SC 29902-8002 | 2017-09-28 |
| 1487184727 | Hillary Nona Wright | Dentist | 1064 Gardner Rd Ste 110, Charleston, SC 29407-5711 | 2017-06-19 |
| 1649725102 | Carolina Periodontics & Dental Implants | Dentist | 112 W Broad St Unit 405, Greenville, SC 29601-2688 | 2016-08-24 |
| 1649630492 | Samir Dilip Patel | Dentist | 342 Patricia Ln Ste 103, Fort Mill, SC 29708-6608 | 2016-03-07 |
| 1225410558 | Happy Teeth Happy Kids, LLC | Dentist | 3074 Deville St, Myrtle Beach, SC 29577-1569 | 2015-06-23 |
| 1750783338 | Frank C. Sparacino Dds Mhs PC | Dentist | 8800 Northpark Blvd, North Charleston, SC 29406-9226 | 2014-09-25 |
| 1134472426 | Jeffrey J Laro | Dentist | 2090 Charlie Hall Blvd, Suite 100, Charleston, SC 29414-8200 | 2012-10-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.