KELLY LOY WHITE (NPI# 1659498673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659498673 |
| Entity Type | Individual |
| Full Name | KELLY LOY WHITE |
| Credential | DDS |
| Practice Address |
617 W Water St Princeton WI 54968-9144 |
| Mailing Address |
Po Box 117 Princeton WI 54968-0117 |
| Practice Telephone | 9202956350 |
| Mailing Telephone | 9202956350 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
WI3155 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861073 | Kelly Marie White | Private Vehicle | 4498 King Arthur Dr, Uniontown, OH 44685-9646 | 2020-11-02 |
| 1265050934 | Kelly Elise White | Nurse Practitioner | 3500 Healthplex Pkwy Ste 200, Norman, OK 73072-9738 | 2020-07-09 |
| 1710518493 | Kelly White | Counselor | 44 Cooper St Ste 109, Woodbury, NJ 08096-4642 | 2020-01-30 |
| 1437796711 | Kelly White | Nurse Practitioner | 11344 S 83rd East Ave, Bixby, OK 74008-2408 | 2019-12-05 |
| 1518432061 | Kelly White | Counselor | 1417 Nw 54th St Ste 441, Seattle, WA 98107-3561 | 2018-10-11 |
| 1396273801 | Kelly Grace White | Social Worker | 41 Spruce St, Northford, CT 06472-1437 | 2017-05-28 |
| 1619404118 | Kelly White | Registered Nurse | N7382 Beaver Bay Dr, Beaver Dam, WI 53916-9532 | 2017-05-15 |
| 1619333036 | Kelly White | Social Worker | 7200 Gumwood Ln, Raleigh, NC 27615-5615 | 2016-01-14 |
| 1801261292 | Kelly H White | Counselor | 604 Highway 80 W Ste R, Clinton, MS 39056-4108 | 2015-12-10 |
| 1790178580 | Kelly White | Social Worker | 210 N Gilmor St Apt B, Baltimore, MD 21223-1732 | 2015-03-18 |
| Street Address |
617 W WATER ST |
| City | PRINCETON |
| State | WI |
| Zip Code | 54968-9144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649575069 | Carrie J Knurowski | Dental Hygienist | 617 W Water St, Princeton, WI 54968-9144 | 2011-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306981 | North Star Home Health LLC | Home Health | N7247 Whitetail Ln, Princton, WI 54968 | 2020-08-12 |
| 1992925176 | Berlin Family Eye Care Sc | Optometrist | 100b E. Main St, Princeton, WI 54968 | 2007-04-27 |
| 1780640250 | City of Princeton | Ambulance | 438 West Main St, Princeton, WI 54968 | 2006-04-25 |
| 1255461620 | Craig Steven Smestad | Dentist | W4861 Village Acres Ln, Princeton, WI 54968-8533 | 2007-03-06 |
| 1386838894 | Princeton School District | Local Education Agency (LEA) | 604 Old Green Lake Rd, Princeton, WI 54968-8667 | 2007-08-29 |
| 1467526996 | Bentley Pharmacies Inc | Pharmacy | 528 W Water St, Princeton, WI 54968-9141 | 2006-11-17 |
| 1124010749 | Phyllis Lee | Family Medicine | 502 W Water St, Princeton, WI 54968-9141 | 2005-08-19 |
| 1629263777 | Barbara Jean Bittinger | Acupuncturist | 527 W Water St, Princeton, WI 54968-9142 | 2007-09-12 |
| 1609400704 | Joseph Cornejo | Acupuncturist | 527 W Water St, Princeton, WI 54968-9142 | 2020-02-27 |
| 1720170715 | Richard Stanley Chisick Jr. | Chiropractor | 433 W Water St, Princeton, WI 54968-9148 | 2006-09-28 |
| Find all providers in zip 54968 | ||||
| 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 |
|---|---|---|---|---|
| 1528611944 | Cecilia Amarantha White | Dentist | 601 Ewing St Ste B16, Princeton, NJ 08540-2755 | 2019-07-24 |
| 1992008932 | Jody Annette Gill | Dentist | 670 W Princeton Dr Ste 600, Princeton, TX 75407-2556 | 2010-12-14 |
| 1790098630 | Guojun Ma | Dentist | 10 Harrogate Cir, Princeton, NJ 08540-7942 | 2010-07-20 |
| 1255595096 | Princeton Family Dental | Dentist | 275 W Princeton Dr, # 100, Princeton, TX 75407-9602 | 2008-07-10 |
| 1477724409 | Philip J. Lingle | Dentist | 510 1st St, Princeton, MN 55371-1604 | 2008-03-18 |
| 1760652424 | Hubert H Byron Jr. | Dentist | 202 S Walker St, Princeton, WV 24740-2747 | 2008-03-09 |
| 1689877664 | Peter M Lewis | Dentist | 253 Witherspoon St Ste 253, Princeton, NJ 08540-3211 | 2007-06-07 |
| 1467654434 | I. Andrew Shelpuk | Dentist | 364 Nassau St, Princeton, NJ 08540-4615 | 2007-06-01 |
| 1174724868 | Poorva Parnaik | Dentist | 5 Aldgate Ct, Princeton, NJ 08540-7014 | 2007-05-30 |
| 1225239403 | Elite Dental Care Inc | Dentist | 838 Alexander Rd, Princeton, NJ 08540-6304 | 2007-05-29 |
| Find all providers in PRINCETON | ||||
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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.