Provider Demographics
NPI:1568877504
Name:WHITE, ALLISON KAREN (DMD)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:KAREN
Last Name:WHITE
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DAYVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06241-2143
Mailing Address - Country:US
Mailing Address - Phone:401-529-3325
Mailing Address - Fax:860-779-7137
Practice Address - Street 1:1040 N MAIN ST
Practice Address - Street 2:
Practice Address - City:DAYVILLE
Practice Address - State:CT
Practice Address - Zip Code:06241-2143
Practice Address - Country:US
Practice Address - Phone:860-779-1053
Practice Address - Fax:860-779-7137
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-29
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT111841223G0001X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice