Long Branch Dental Group, del G. Gregory, D.D.S., PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LONG BRANCH DENTAL GROUP, DEL G. GREGORY, D.D.S., PC

Practice address

1609 Maffry Ave
Macon, MO 63552-1960

Phone

(660) 385-3413

Fax

(660) 385-7069

NPI assigned

Apr 11, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Avis Lynn Marshall

Title

Office Manager

Phone

(660) 385-3413

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Del Gene Gregory, D.D.S.

  • General Practice Dentistry
  • Macon, MO
  • NPI 1164645560
  NPD (past)
• William Walter Marshall II, D.D.S.

  • General Practice Dentistry
  • Macon, MO
  • NPI 1750504148
  NPD (past)
• Robert Mayo Wilhite, D.D.S.

  • General Practice Dentistry
  • Macon, MO
  • NPI 1710100110
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043433451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 MAFFRY AVE",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635521960",
            "telephone_number": "660-385-3413",
            "fax_number": "660-385-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 MAFFRY AVE",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635521960",
            "telephone_number": "660-385-3413",
            "fax_number": "660-385-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BRANCH DENTAL GROUP, DEL G. GREGORY, D.D.S., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "AVIS",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "660-385-3413"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lab One LLC
• Abby M Lane, P.T.
• Paul Vincent Lane, P.T.
• Kalen Scott Linneman, ATHLETIC TRAINER
• Loch Haven Apartments
• Andrew Lovy, D. O.
• Macon County Ambulance District
• Macon County Commission for Developmentally Disabled Citizens
• Macon County Health Department
• Macon County Nursing Home District (Loch Haven)

• General Practice Dentistry in Macon, MO
• Providers in Macon, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.