Greenleaf Dentistry, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN16117 Issued in FL

Legal business name

GREENLEAF DENTISTRY, PA

Practice address

4436 NW 23Rd Ave Ste a
Gainesville, FL 32606-6507

Phone

(352) 376-3216

NPI assigned

Nov 27, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Meredith Goodrich, D.M.D.

Title

President

Phone

(352) 376-3216

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1194156224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4436 NW 23RD AVE STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066507",
            "telephone_number": "352-376-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4436 NW 23RD AVE STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066507",
            "telephone_number": "352-376-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLEAF DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "GOODRICH",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-376-3216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha S Greene, PAC
• Sara Kristen Greene, AGACNP-BC
• Tracy Ann Greene, PT
• William Greene, MD
• Gail Greenhut, LCSW
• Greenleaf Dialysis LLC
• Justice Nakhiya-Dai Greenlee, CNA
• Latonya Louise Greenlee
• Marlene Ginger Greenspan, LCSW
• Brandon Lee Greenwalt, DMD

• General Practice Dentistry in Gainesville, FL
• Providers in Gainesville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.