Beavercreek Family Dental Gregory J Austria DDS LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BEAVERCREEK FAMILY DENTAL GREGORY J AUSTRIA DDS LLC

Practice address

4049 Dayton Xenia Rd
Suite 200
Beavercreek, OH 45432-1992

Phone

(937) 429-3880

NPI assigned

Nov 5, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Gregory J Austria, DDS

Title

Owner

Phone

(937) 376-9975

Specialties & licenses 1

Addresses

Other names 1

• Brilliant Smiles Doing business as

Locations

Practitioners 1

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

• Mathew Michael Thomas

  • General Practice Dentistry
  • Beavercreek, OH
  • NPI 1326896614
  NPD (past)

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1124491691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 N MONROE DR",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453851655",
            "telephone_number": "937-376-9975",
            "fax_number": "937-376-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4049 DAYTON XENIA RD",
            "address_2": "SUITE 200",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454321992",
            "telephone_number": "937-429-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVERCREEK FAMILY DENTAL GREGORY J AUSTRIA DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "AUSTRIA",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-376-9975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brilliant Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.