Provider Demographics
NPI:1730518598
Name:WHITE, HERMIONE ALETHEA (DDS)
Entity type:Individual
Prefix:DR
First Name:HERMIONE
Middle Name:ALETHEA
Last Name:WHITE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10201 KATY FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1127
Mailing Address - Country:US
Mailing Address - Phone:713-395-5454
Mailing Address - Fax:713-395-5455
Practice Address - Street 1:10201 KATY FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1127
Practice Address - Country:US
Practice Address - Phone:713-395-5454
Practice Address - Fax:713-395-5455
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-02
Last Update Date:2013-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15219122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist