DR. JACK RAYMOND WHITE D.M.D.
NPI 1467573675
Dentist - General Practice in San Diego, CA

Q: What is Jack White's NPI number?

The NPI number for Jack White is 1467573675. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Q: What is Jack White's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jack White was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 03, 2007

2187 GARNET AVE, SAN DIEGO, CA 92109(858) 272-8330(858) 272-0228 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jack Raymond White D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK RAYMOND WHITE D.M.D. (NPI 1467573675) is an individual general practice provider in San Diego, California, licensed in California (23686) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1467573675

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JACK RAYMOND WHITECredential: D.M.D.

Location Address2187 GARNET AVESan Diego, CA 92109-3603

Mailing Address2187 Garnet AveSan Diego, CA 92109-3603 · (858) 272-8330 · Fax (858) 272-0228

Phone(858) 272-8330

Fax(858) 272-0228

Sole ProprietorYes

Enumeration DateApril 3, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1467573675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 23686

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.

2187 GARNET AVE, San Diego, CA 92109

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack White's NPI number?

The NPI number for Jack White is 1467573675. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Jack White located?

Jack White practices at 2187 Garnet Ave, San Diego, CA 92109. The listed phone number is (858) 272-8330.

What is Jack White's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jack White was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.