Provider Demographics
NPI:1932378817
Name:WHITE, JULIAN CHRISTOPHER (DDS)
Entity type:Individual
Prefix:DR
First Name:JULIAN
Middle Name:CHRISTOPHER
Last Name:WHITE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:505 LANDING PT
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-9061
Mailing Address - Country:US
Mailing Address - Phone:504-228-5740
Mailing Address - Fax:770-441-0299
Practice Address - Street 1:570 W LANIER AVE
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-7649
Practice Address - Country:US
Practice Address - Phone:678-836-2128
Practice Address - Fax:770-441-0299
Is Sole Proprietor?:No
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0130321223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics