Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. CECIL WHITE JR. D.M.D.
NPI 1487698528
Dentist - Periodontics in Jacksonville, FL

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223P0300X and a focus in Periodontics.

Active since June 16, 2006PECOS Enrolled

2080 CHILD ST, 2080 CHILD STREET, JACKSONVILLE, FL 32214(904) 270-4467(904) 270-4478 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Cecil White Jr. D.m.d. NPPES

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

DR. CECIL WHITE JR. D.M.D. (NPI 1487698528) is an individual periodontics provider in Jacksonville, Florida, licensed in Florida (DN 9020) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487698528

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. CECIL WHITE JR.Credential: D.M.D.

Location Address2080 CHILD ST, 2080 CHILD STREETJacksonville, FL 32214-5005

Mailing Address2080 Child StJacksonville, FL 32214-5005 · (904) 270-4467 · Fax (904) 270-4478

Phone(904) 270-4467

Fax(904) 270-4478

Sole ProprietorNo

Enumeration DateJune 16, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1487698528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

Licenses✔ Licensed in FL · DN 9020✔ Licensed in VA · 0401008401✔ Licensed in IN · 12009165A

Definition

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.

2080 CHILD ST, Jacksonville, FL 32214

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Other Names 1

Professional Name (2)Dr. Cecil White D.m.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Cecil White Jr. D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.