Gulfcoast Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1781-77 Issued in MS

Legal business name

GULFCOAST DENTAL CENTER

Practice address

3118 15TH Street
Gulfport, MS 39501

Phone

(228) 863-6413

NPI assigned

Mar 8, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Roy Lee Irons, DDS

Title

Dentist

Phone

(228) 863-6413

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1003114547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 15TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012708",
            "telephone_number": "228-863-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 15TH STREET",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "39501",
            "telephone_number": "228-863-6413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFCOAST DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "IRONS",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "228-863-6413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "1781-77",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Spinal & Neurosurgical Specialists LLC
• Gulf Coast Value Cab
• Gulf South Heart & Vascular Institute, PLLC
• Gulf South Pediatric Cardiology, LLC
• Gulf South Surgery Center LLC
• Gulfcoast Pulmonary Consultants PA
• Gulfport 49 Imaging, LLC
• Gulfport Anesthesia and Pain Treatment, PLLC
• Gulfport Anesthesia Services, P.a.
• Gulfport Discount Drugs

• General Practice Dentistry in Gulfport, MS
• Providers in Gulfport, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.