Paul E. Gauthier D.D.S., P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7909 Issued in MD

Legal business name

PAUL E. GAUTHIER D.D.S., P.A.

Practice address

65 Thomas Johnson Dr Ste B
Frederick, MD 21702-4371

Phone

(301) 698-0044

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul Edward Gauthier, D.D.S.

Title

Dentist

Phone

(301) 698-0044

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073735486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 GROVE BLVD",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014810",
            "telephone_number": "301-696-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 THOMAS JOHNSON DR STE B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024371",
            "telephone_number": "301-698-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL E. GAUTHIER D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAUTHIER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "301-698-0044",
        "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": "MD",
            "license": "7909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.