DR. KEITH DOUGLAS WHITE (NPI# 1790825602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790825602 |
| Entity Type | Individual |
| Full Name | DR. KEITH DOUGLAS WHITE |
| Credential | D.D.S. |
| Practice Address |
2935 Breezewood Ave Suite200 Fayetteville NC 28303-5284 |
| Mailing Address |
106 Woods Ln Raeford NC 28376-9314 |
| Practice Telephone | 9103233133 |
| Practice Fax Number | 9103239616 |
| Mailing Telephone | 9108480123 |
| Mailing Fax Number | 9108480123 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8079 | NC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518475268 | Keith Douglas White | Counselor | 12050 Lake Ave Apt 504, Lakewood, OH 44107-1872 | 2018-01-16 |
| 1558620278 | Keith Anthony White | Psychiatry & Neurology | 300 Valley St Ne, Abingdon, VA 24210-2912 | 2012-05-15 |
| 1457491318 | Keith Alan White | Counselor | 12505 Grandview Rd, Grandview, MO 64030 | 2007-02-07 |
| 1447347703 | Keith Allen White | Chiropractor | 2120 West 25th, Suite A, Lawrence, KS 66047 | 2006-10-06 |
| 1720529241 | Keith White Sr. | Social Worker | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2017-03-16 |
| 1831372671 | Keith Turreff White | Dentist | 1855 San Miguel Dr, Suite 20, Walnut Creek, CA 94596-5279 | 2007-12-16 |
| 1821217845 | Keith White | Family Medicine | 2500 Alhambra Ave, Martinez, CA 94553-3156 | 2007-04-25 |
| 1972639870 | Keith L White | Dentist | 800 Rose St Rm D104, University of Kentucky College of Dentistry, Lexington, KY 40536-0297 | 2007-02-26 |
| 1528146925 | Keith A White | Counselor | 114 N Washington Street, Suite 25-30, Easton, MD 21601 | 2006-11-02 |
| 1407959422 | Keith Allen White | Family Medicine | 1430 Monmouth St, Independence, OR 97351 | 2006-09-06 |
| Street Address |
2935 BREEZEWOOD AVE SUITE200 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28303-5284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649205477 | Walter Stuart Scott IIi | Dentist | 2935 Breezewood Ave, Suite 200, Fayetteville, NC 28303-5284 | 2006-07-11 |
| 1700233202 | Fresh Beginnings Home Care | Home Infusion | 2935 Breezewood Ave, Ste 101, Fayetteville, NC 28303-5284 | 2016-05-16 |
| 1558703231 | Asia A Boyd | Dentist | 2935 Breezewood Ave, Fayetteville, NC 28303-5284 | 2013-07-23 |
| 1942497433 | Walter S Scott Dds Pa | Dentist | 2935 Breezewood Ave, Suite 200, Fayetteville, NC 28303-5284 | 2007-09-27 |
| 1467582452 | Home Caregivers Inc | Home Health | 2935 Breezewood Ave, 102, Fayetteville, NC 28303-5284 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
| 1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
| 1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
| 1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
| 1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
| 1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| Find all providers in zip 28303 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346898335 | Chaitanya Joopally Dds Pllc | Dentist | 2050 Skibo Rd. Ste 104, Fayetteville, NC 28314 | 2019-09-03 |
| 1972151439 | Ikenna K Okons | Dentist | 4200 Morganton Rd Ste 304, Fayetteville, NC 28314-1564 | 2019-08-28 |
| 1114488079 | Bianca Kristina Adams | Dentist | 207 Forest Creek Dr, Fayetteville, NC 28303-5496 | 2019-03-25 |
| 1194226506 | Michael E. Carter, Dds, Pllc | Dentist | 1874 N Hunters Rdg Ste 1, Fayetteville, AR 72701-2896 | 2018-02-22 |
| 1760900153 | Elali Alisha Marie Moukwa | Dentist | 1916 Skibo Rd Ste C3, Fayetteville, NC 28314 | 2017-09-06 |
| 1548781107 | Christopher Heard | Dentist | 265 N Jeff Davis Dr Ste 1a, Fayetteville, GA 30214-1668 | 2017-07-03 |
| 1881123305 | Kenneth Boyd Lewis Jr. | Dentist | 4140 Ramsey St Ste 104, Fayetteville, NC 28311-7658 | 2017-06-08 |
| 1518496215 | Van Michael Mcqueen Jr. | Dentist | 640 N Garland Ave # 104, Fayetteville, AR 72701 | 2017-06-06 |
| 1710415229 | Alan Kuo | Dentist | 1400 Walter Reed Rd Ste 200, Fayetteville, NC 28304 | 2017-05-28 |
| 1508304866 | Karan G Mirchandani | Dentist | 4251 Ramsey St Ste 8, Fayetteville, NC 28311-2130 | 2017-02-07 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28303 |
Please comment or provide details below to improve the information on DR. KEITH DOUGLAS WHITE.
| 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.