Booneville Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7138 Issued in KY

Legal business name

BOONEVILLE FAMILY DENTISTRY

Practice address

706 North Courthouse Square
Booneville, KY 41314

Phone

(606) 723-1000

Fax

(606) 723-1039

NPI assigned

Jan 2, 2009

Last updated

Jan 2, 2009By 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

Dr. Jason Wynn Gay, D.M.D.NPI 1750468047

Title

Owner

Phone

(606) 723-1000

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jason W Gay, DMD

  • Dentist
  • Irvine, KY
  • NPI 1750468047
  Authorized official Same address or phone

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230854400000",
    "number": "1053557660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1167",
            "city": "BOONEVILLE",
            "state": "KY",
            "postal_code": "413141167",
            "telephone_number": "606-723-1000",
            "fax_number": "606-723-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 NORTH COURTHOUSE SQUARE",
            "city": "BOONEVILLE",
            "state": "KY",
            "postal_code": "41314",
            "telephone_number": "606-723-1000",
            "fax_number": "606-723-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONEVILLE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-02",
        "last_updated": "2009-01-02",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "WYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-723-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brittany Bobrowski, D.O.
• Kevin Brashear
• Melody Brewer, APRN
• Kristina Michelle Byrd, APRN, FNP-C
• Roger Darrell Campbell, D.M.D.
• Matthew Carrico, PHARMD

• General Practice Dentistry in Booneville, KY
• Providers in Booneville, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2009; 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.