IndividualActive
Gordon White, D.D.S
NPI 1720158850 · Periodontics · Saint Louis, MO
Provider details
- NPI number
- 1720158850
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.D.S
- Sex
- Male
- Sole proprietor
- Yes
- License
- 11033 (MO)
Specialties & taxonomies
Dental Providers
Practice location
2821 N Ballas Rd
Suite 260
Saint Louis, MO 63131-2321
Phone: (314) 567-4850
Fax: (314) 567-5877
Approximate (ZIP-level) locationGet directions
Mailing address
2821 N Ballas Rd
Saint Louis, MO 63131-2321
Registry dates
- Enumerated
- 2006-11-08
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.