Gairhan Dental Care, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3709 Issued in AR

Legal business name

GAIRHAN DENTAL CARE, PLLC

Doing business as

Gairhan Dental Care

Practice address

460 Southwest Dr Ste B
Jonesboro, AR 72401-5855

Phone

(870) 931-1100

Fax

(870) 931-1101

NPI assigned

Apr 8, 2010

Last updated

Apr 8, 2010By 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. Emily Ballard Gairhan, D.D.S.

Title

President

Phone

(870) 931-1100

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Gairhan Dental Care Doing business as

Locations

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270684800000",
    "number": "1053637637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 SOUTHWEST DR STE B",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015855",
            "telephone_number": "870-931-1100",
            "fax_number": "870-931-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 SOUTHWEST DR STE B",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015855",
            "telephone_number": "870-931-1100",
            "fax_number": "870-931-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAIRHAN DENTAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-04-08",
        "status": "A",
        "authorized_official_last_name": "GAIRHAN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "BALLARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-931-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1841428117",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179731608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gairhan Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindy Gage
• Stephanie Gage, APRN
• Susan Gagliano
• Darbi Gahr, RN
• Chasity Gaines, MHPP
• Emily Gairhan, D.D.S.
• Toni Scott Gairhan
• Bryan A Galli
• Chaney Gallion
• Stacia Gallion, APN

• General Practice Dentistry in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; 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.