Gaunt Family Dentistry PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DS-022420-L Issued in PA

Legal business name

GAUNT FAMILY DENTISTRY PC

Practice address

107 E Central Ave
Avis, PA 17721-8904

Phone

(570) 753-5403

Fax

(570) 753-5485

NPI assigned

Mar 13, 2015

Last updated

Mar 13, 2015By 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. Jay R Gaunt, DDS

Title

Dentist

Phone

(570) 753-5403

Specialties & licenses 1

Addresses

Other names 1

• Gaunt Family Dentistry Other name

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.

• Jignesh Bhikhalal Modha, DDS

  • Dentist
  • Avis, PA
  • NPI 1255986618
  NPD (past)

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1093108102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E CENTRAL AVE",
            "address_2": "PO BOX 710",
            "city": "AVIS",
            "state": "PA",
            "postal_code": "177218904",
            "telephone_number": "570-753-5403",
            "fax_number": "570-753-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E CENTRAL AVE",
            "city": "AVIS",
            "state": "PA",
            "postal_code": "177218904",
            "telephone_number": "570-753-5403",
            "fax_number": "570-753-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAUNT FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "GAUNT",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "570-753-5403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS-022420-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gaunt Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Enso Counseling & Wellness, LLC
• Heather Lynn Fowler, LPC
• Freeman Counseling Services
• Hannah Marie Freeman, LCSW
• Gaunt Family and Cosmetic Dentistry
• Geisinger Clinic
• Susan Lynne Glossner
• Stephen Goykovich, D.O.
• Ashley Hershberger
• Jersey Shore Hospital Foundation, Inc (Jersey Shore Medical Associates)

• Dental Clinic/Center in Avis, PA
• Providers in Avis, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.