Provider Demographics
NPI:1942443908
Name:DR. JOHN R. WHITE, DDS & DR. CHRIS N. SIACHOS, DMD
Entity type:Organization
Organization Name:DR. JOHN R. WHITE, DDS & DR. CHRIS N. SIACHOS, DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE STAFF
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:H
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-859-0621
Mailing Address - Street 1:123 E 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29640-3036
Mailing Address - Country:US
Mailing Address - Phone:864-859-0621
Mailing Address - Fax:864-859-0616
Practice Address - Street 1:123 E 1ST AVE
Practice Address - Street 2:
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29640-3036
Practice Address - Country:US
Practice Address - Phone:864-859-0621
Practice Address - Fax:864-859-0616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-07
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2842261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental