Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891776845 Individual Practitioner Female Practitioner

Dr. Clarice Rena White , DDS

Dentist - General Practice • Mason, TN

Professional Overview & Biography Verified Profile Summary

Dr. Clarice White, DDS is a registered healthcare professional specializing in Dentist - General Practice in Mason, TN. Practice services are available at 12173 MAIN ST STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12173 Main St Ste B

Mason, TN 380497054

Telephone 9012942634
Fax 9012942639
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mason, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Mason, TN (2175 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TN DS0000005088

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.

Technician, Pathology - Medical Laboratory

NUCC Taxonomy Code: 246RM2200X

State License TN ML0000008122

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3225798 (TN)
Medicaid State Provider ID
3205221 (TN)
Commercial Insurance / Payer ID Doral Dental
4777 (TN)
Commercial Insurance / Payer ID Bluecross Blueshield
4098095 (TN)
Commercial Insurance / Payer ID License
DS005088 (TN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Tiffany Taylor , SFNP

Nurse Practitioner - Family

NPI 1265380596
Bianca Burnett

Nurse Practitioner - Family

NPI 1598684896

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
NPI Profile Active June 14, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 14, 2017

Registered at 12173 MAIN ST STE B, MASON, TN 380497054 (Tel: 9012942634)

📍
Updated Business Mailing Address June 14, 2017

Registered at 12173 MAIN ST, SUITE B, MASON, TN 380497054 (Tel: 9012942634)

👤
Provider Name / Credentials Updated June 14, 2017

Recorded as CLARICE WHITE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2017

Technician, Pathology (License #ML0000008122 in TN)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2017

Dentist (License #DS0000005088 in TN)

NPI Profile Active October 23, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 23, 2014

Registered at 12173 MAIN ST STE B, MASON, TN 380497054 (Tel: 9012942634)

📍
Updated Business Mailing Address October 23, 2014

Registered at 12173 MAIN ST, SUITE B, MASON, TN 380497054 (Tel: 9012942634)

👤
Provider Name / Credentials Updated October 23, 2014

Recorded as CLARICE WHITE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2014

Dentist (License #DS0000005088 in TN)

🟢
Initial NPI Registration & Enumeration November 08, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891776845
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2005
Last Update: June 14, 2017
Sole Proprietor: Yes

Mailing Address

12173 Main St, Suite B

Mason, TN 380497054

Phone: 9012942634

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.