Guilford Dental Lab

Primary specialty

Dental Laboratory TechnicianTaxonomy code 126900000X

Legal business name

GUILFORD DENTAL LAB

Practice address

3501 Associate Dr
Greensboro, NC 27405-3879

Phone

(336) 944-5898

NPI assigned

Aug 11, 2022

Organization subpart

No

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

Authorized official

Name

Barry HolyfieldNPI 1710601844

Title

Owner

Phone

(336) 944-5898

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Barry Gray Holyfield

  • Dental Laboratory Technician
  • Greensboro, NC
  • NPI 1710601844
  NPD Authorized official

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1043948631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 ASSOCIATE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 ASSOCIATE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053879",
            "telephone_number": "336-944-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILFORD DENTAL LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "HOLYFIELD",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-944-5898"
    },
    "taxonomies": [
        {
            "code": "126900000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Laboratory Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guilford County Department of Social Services
• Guilford County Department of Social Services
• Guilford County Health Department
• Guilford County Schools
• Guilford County Youth Academy, L.L.C.
• Guilford Emergency Physicians PA
• Guilford Emergency Physicians PA
• Guilford Eye Center OD PA
• Guilford Gynecology & Obstetrics
• Guilford Health Care Center, Inc.

• Dental Laboratory Technician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Dental Laboratory Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.