Golden Triangle Periodontal Center

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

PER154-88 Issued in MS

Legal business name

GOLDEN TRIANGLE PERIODONTAL CENTER

Practice address

2900 Bluecutt Rd
Suite 3
Columbus, MS 39705-1470

Phone

(662) 329-2696

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John W Starr Jr., DMDNPI 1285762237

Title

Periodontist

Phone

(662) 329-2696

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John W. Starr Jr., DMD

  • Periodontics
  • Columbus, MS
  • NPI 1285762237
  NPD (past) Authorized official

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114055167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 BLUECUTT RD",
            "address_2": "SUITE 3",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051470",
            "telephone_number": "662-329-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 BLUECUTT RD",
            "address_2": "SUITE 3",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051470",
            "telephone_number": "662-329-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN TRIANGLE PERIODONTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STARR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "662-329-2696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MS",
            "license": "PER154-88",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GN Hearing Care Corp
• William Bryant Godfrey
• Robbie B. Godwin, D.O.
• Golden Triangle Neurology Clinic, PLLC
• Golden Triangle Pathology
• Golden Triangle Radiology
• Golden Triangle Radiology, PA
• Golden Triangle Urology PLLC
• Golden Years Adult Daycare
• Golden Years Home Care Inc

• Periodontics in Columbus, MS
• Providers in Columbus, MS by specialty
• Periodontics in Mississippi

• 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.