Gary Selby DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5777 Issued in FL

Legal business name

GARY SELBY DDS PA

Practice address

410 W Bloomingdale Ave
Brandon, FL 33511-7402

Phone

(813) 654-0037

Fax

(813) 654-0227

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gary Royal Selby, DDSNPI 1982625323

Title

Doctor

Phone

(813) 654-0037

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.

• Gary Royal Selby, DDS

  • General Practice Dentistry
  • Brandon, FL
  • NPI 1982625323
  NPD (past) Authorized official
• Susan Agnes Davidson, DDS

  • Dentist
  • Brandon, FL
  • NPI 1104544782
  NPD (past)
• Sam Ayad Issa, BDS, HDD

  • Dentist
  • Brandon, FL
  • NPI 1720577505
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053332379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 LAUREL TREE WAY",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118030",
            "telephone_number": "813-654-0037",
            "fax_number": "813-654-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117402",
            "telephone_number": "813-654-0037",
            "fax_number": "813-654-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY SELBY DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SELBY",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ROYAL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "813-654-0037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "5777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marquisha Marlena Garrick
• Lisbet Garrido Samon
• Melanie Marie Garrison, COTA
• Tessa Garst
• Gary Ronay MD PA
• Sharon Gaskin
• Courtney Gaskins
• Gastroenterology Center of Tampa Bay LLC
• Ori Gat, MD
• Caroline Grace Gates, OTD, OTR/L

• General Practice Dentistry in Brandon, FL
• Providers in Brandon, FL by specialty
• General Practice Dentistry in Florida

• 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.