KELLY LOY WHITE DDS
NPI 1659498673
Dentist - General Practice in Princeton, WI

Active since March 23, 2007
617 W WATER ST, PRINCETON, WI 54968(920) 295-6350 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Loy White Dds NPPES

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

KELLY LOY WHITE DDS (NPI 1659498673) is an individual general practice provider in Princeton, Wisconsin, licensed in Wisconsin (WI3155) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1659498673
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKELLY LOY WHITECredential: DDS
Location Address617 W WATER STPrinceton, WI 54968-9144
Mailing Address169 Memorial DrBerlin, WI 54923-1241 · (920) 361-3080 · Fax (920) 361-3054
Sole ProprietorNo
Enumeration DateMarch 23, 2007
Last NPPES UpdateMay 10, 2022
NPPES CertifiedMay 10, 2022
NPI 1659498673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WI · WI3155
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.
617 W WATER ST, Princeton, WI 54968

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dental Hygienist
617 W WATER ST
PRINCETON, WI 54968

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 Kelly White's NPI number?

The NPI number for Kelly White is 1659498673. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Kelly White located?

Kelly White practices at 617 W Water St, Princeton, WI 54968. The listed phone number is (920) 295-6350.

What is Kelly 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 Kelly White was last updated on May 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.