Cypress Creek Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

0401414454 Issued in VA

Legal business name

CYPRESS CREEK FAMILY DENTISTRY

Practice address

1617 S Church St
Smithfield, VA 23430-1831

Phone

(757) 357-7500

NPI assigned

Jun 18, 2018

Last updated

Jun 18, 2018By 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. Gregory Mullins, DDS

Title

Practice Owner

Phone

(804) 397-0120

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Daniel Douglas Eastman, DDS

  • General Practice Dentistry
  • Smithfield, VA
  • NPI 1912219940
  NPD (past)
• Gayle Waguespack Terwilliger, D.D.S.

  • General Practice Dentistry
  • Smithfield, VA
  • NPI 1528318367
  NPD (past)

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529280000000",
    "number": "1164916722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 S CHURCH ST",
            "city": "SMITHFIELD",
            "state": "VA",
            "postal_code": "234301831",
            "telephone_number": "757-357-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 S CHURCH ST",
            "city": "SMITHFIELD",
            "state": "VA",
            "postal_code": "234301831",
            "telephone_number": "757-357-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS CREEK FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "804-397-0120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronice Conner
• Phillip Milton Cook Jr., D.D.S.
• Sarah Dawn Crumpler, PMHNP
• Kaylee Taylor Curtis
• Cuttupndyed
• Jerra L Daugherty, LCSW
• David Gary Morgan Sr (Atlantic Coast Foot and Ankle Care)
• Drew McKenzie Dent, LPC
• Dr Barry Van Orman DDS PC (Demtal Care of Smithfield)
• Dr James C Dover & Associates

• Dentist in Smithfield, VA
• Providers in Smithfield, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.