Gagoh Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GAGOH FAMILY DENTAL

Practice address

24450 Evergreen Rd
Suite 101
Southfield, MI 48075-5518

Phone

(248) 350-3366

Fax

(248) 350-0457

NPI assigned

Feb 17, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Oscar K Gagoh, D.D.S

Title

Owner

Phone

(248) 350-3366

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1073835120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24450 EVERGREEN RD",
            "address_2": "SUITE 101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755518",
            "telephone_number": "248-350-3366",
            "fax_number": "248-350-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24450 EVERGREEN RD",
            "address_2": "SUITE 101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755518",
            "telephone_number": "248-350-3366",
            "fax_number": "248-350-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAGOH FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "GAGOH",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-350-3366",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anjali S Gadkari, PT
• Katherine Gadley
• Kimberly Gadulka, MS, PA-C
• Makiesha Gafford, CPC
• Marrem Gago, DO
• Megan Beth Gailliard, MPT
• Gaines Insight Counseling LLC
• La-Toya Shannelle Gaines, PSY.D. L.P.
• Ronald Gaines
• Zarina Galaria, MD

• General Practice Dentistry in Southfield, MI
• Providers in Southfield, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.