LUCY T WHITE DDS INC (NPI# 1821166869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821166869 |
| Entity Type | Organization |
| Organization Name | LUCY T WHITE DDS INC |
| Practice Address |
1441 W 7th St San Pedro CA 90732 |
| Mailing Address |
1441 W 7th St S San Pedro San Pedro CA 90732 |
| Practice Telephone | 3108310781 |
| Practice Fax Number | 3108310794 |
| Mailing Telephone | 3108310781 |
| Mailing Fax Number | 3108310794 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2013-11-08 |
| Authorized Official Name | DR. LUCY T WHITE (CEO) |
| Authorized Official Telephone | 3108310781 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
31731 | CA | Dental Providers |
| Street Address |
1441 W 7TH ST |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771241 | Alicia Avila | Student in an Organized Health Care Education/Training Program | 2227 Blue Butterfly Way, #7, San Pedro, CA 90732 | 2020-08-24 |
| 1619500543 | Udana Harris | Registered Nurse | 1300 West 7th Street, Obhc Unit, San Pedro, CA 90732 | 2020-02-19 |
| 1861042301 | Patricia Elaine Moses | Technician | 106 N. Western Ave Unit 102, San Pedro, CA 90732 | 2019-09-17 |
| 1629627393 | Antonio Ramon Martinez | Technician | 3141 Blue Butterfly Unit 66, San Pedro, CA 90732 | 2019-09-05 |
| 1487207700 | Victoria A. Shook, D.d.s., A Professional Corp. | Dentist | 28138 S. Western Ave., San Pedro, CA 90732 | 2019-07-17 |
| 1144566563 | Shaun E Chandran M D Inc | Orthopaedic Surgery | 1360 W 6th Street, Suite 305, San Pedro, CA 90732 | 2012-12-13 |
| 1316281280 | Jenny Luong | Physician Assistant | 1534 W. 25th St, San Pedro, CA 90732 | 2012-11-16 |
| 1033429519 | Eric M Feit Dpm Inc | Podiatrist | 1360 West 6th St., Suite 240, San Pedro, CA 90732 | 2010-10-18 |
| 1386808673 | Meysam Zaker | Dentist | 2470 S. Western Ave, San Pedro, Ca, CA 90732 | 2008-07-15 |
| 1376735340 | Francisco J. Correa, M.d., Inc | General Practice | 1350 W. 6th St, #3, San Pedro, CA 90732 | 2007-08-14 |
| Find all providers in zip 90732 | ||||
| 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 |
|---|---|---|---|---|
| 1487207700 | Victoria A. Shook, D.d.s., A Professional Corp. | Dentist | 28138 S. Western Ave., San Pedro, CA 90732 | 2019-07-17 |
| 1144771445 | K Javid D.d.s and M Nadi D.d.s Inc | Dentist | 1622 S Gaffey St, Suite #102, San Pedro, CA 90731-4658 | 2016-10-21 |
| 1063898153 | Won Sur Park | Dentist | 531 W 7th St Ste B, San Pedro, CA 90731-3115 | 2015-07-30 |
| 1669779732 | Glynis Dynel Wallace | Dentist | 779 W 20th St Apt 7, San Pedro, CA 90731-5359 | 2011-02-24 |
| 1013150838 | Erika Nakamura Gomez | Dentist | 520 W 7th St, San Pedro, CA 90731-3116 | 2009-04-08 |
| 1548432032 | John J Furesh | Dentist | 530 W 9th Street, San Pedro, CA 90731 | 2008-03-25 |
| 1548431018 | Guillermo Rubiano Dds Inc | Dentist | 844 W 9th St, San Pedro, CA 90731-3604 | 2008-03-12 |
| 1609085133 | Christopher A Iwata | Dentist | 665 W 21st St, Apt 2, San Pedro, CA 90731-5550 | 2007-05-22 |
| 1760518989 | Christopher Jospeh Deledonne | Dentist | 1360 W 6th St Ste 110, San Pedro, CA 90732-3542 | 2007-02-23 |
| 1922133651 | Oscar Eduardo Brandi | Dentist | 842 W 9th St, San Pedro, CA 90731-3604 | 2007-02-22 |
| Find all providers in SAN PEDRO | ||||
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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.