Danielle M. Gough, DMD, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DANIELLE M. GOUGH, DMD, PLLC

Practice address

1124 Gallery Park Boulevard
Wilmington, NC 28412

Phone

(910) 218-1222

Fax

(844) 266-2407

NPI assigned

Oct 10, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Sofia Marie Fanti

Title

Office Manager

Phone

(910) 218-1222

Specialties & licenses 1

Addresses

Other names 1

• Complete Dental Barclay Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Devinn L Geeson, DDS

  • General Practice Dentistry
  • Jacksonville, NC
  • NPI 1457730707
  NPD

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1043852148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 W GATE DR STE 180",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284510437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 GALLERY PARK BOULEVARD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28412",
            "telephone_number": "910-218-1222",
            "fax_number": "844-266-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELLE M. GOUGH, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "FANTI",
        "authorized_official_first_name": "SOFIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-218-1222",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Dental Barclay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel & Max, LLC
• Daniel J Duffy DMD, PLLC
• Katherine Daniel-Valley, PT, DPT
• Christian Daniel, MD
• Christopher Daniel, PAC
• Charles Shane Daniels, MD
• Katherine Marie Daniels, DPT
• Alexander Danilowicz, LCSW, CADC
• Jennifer Danks, PMHNP-BC
• Frances Estoy Danner

• General Practice Dentistry in Wilmington, NC
• Providers in Wilmington, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.