George G. Ghosn D.D.S.,P.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

003371 Issued in WA

Legal business name

GEORGE G. GHOSN D.D.S.,P.S.

Practice address

604 S Meridian
Puyallup, WA 98371-5998

Phone

(253) 845-7911

Fax

(253) 845-1475

NPI assigned

Feb 5, 2007

Last updated

Aug 22, 2020By 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. George Ghosn Ghosn, D.D.S.

Title

Dentist

Phone

(253) 845-7911

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083753305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S MERIDIAN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983715998",
            "telephone_number": "253-845-7911",
            "fax_number": "253-845-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S MERIDIAN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983715998",
            "telephone_number": "253-845-7911",
            "fax_number": "253-845-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE G. GHOSN D.D.S.,P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GHOSN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "GHOSN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "253-845-7911",
        "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": "WA",
            "license": "003371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadira Genis, LMP
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• Katelyn Rae Genova, PA-C
• Ceara Nicole Gentry, LMT
• Amber Fawn Gentrysouthard, M.S.W, LICSW
• Jaya George, RPH
• Conor T Geraghty
• Dean Raymond Gerimonte II, D.C.
• Neva Anne Gerke, LM, MSM
• Emily Marie Germiat, DPT

• General Practice Dentistry in Puyallup, WA
• Providers in Puyallup, WA by specialty
• General Practice Dentistry in Washington

• 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.