Organization Active NPI

G. Philip Whiteside DMD, PSC

  • General Practice Dentistry
  • Glasgow, KY
National Provider Identifier
1093895864
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
075651 Issued in KY
Legal business name
G. PHILIP WHITESIDE DMD, PSC
Practice address
400 E Main St
Glasgow, KY 42141-2842
Phone
(270) 651-6471
Fax
(270) 651-6454
NPI assigned
Oct 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. G. Philip Whiteside, DMD
Title
President
Phone
(270) 651-6471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 075651 KY Primary

Addresses

Primary practice location

400 E Main St
Glasgow, KY 42141-2842

Mailing address

400 E Main St
Glasgow, KY 42141-2842
Phone (270) 651-6471

National Provider Directory

National Provider Directory

Locations

400 E Main St
Glasgow, KY 42141
Phone (270) 651-6471

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093895864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E MAIN ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421412842",
            "telephone_number": "270-651-6471",
            "fax_number": "270-651-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E MAIN ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421412842",
            "telephone_number": "270-651-6471",
            "fax_number": "270-651-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. PHILIP WHITESIDE DMD, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITESIDE",
        "authorized_official_first_name": "G.",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-651-6471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "075651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glasgow, KY

Sources for this page

  • 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.