P.M.Gangi D.M.D.,Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15474 Issued in MA

Legal business name

P.M.GANGI D.M.D.,INC.

Practice address

13 Branch St
Ste 2
Methuen, MA 01844-1975

Phone

(978) 683-4114

Fax

(978) 687-4491

NPI assigned

Apr 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Paul M Gangi, D.M.D.

Title

Dentist/Owner

Phone

(978) 683-4114

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1194998799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 BRANCH ST",
            "address_2": "SUITE 2",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018441963",
            "telephone_number": "978-683-4114",
            "fax_number": "978-687-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 BRANCH ST",
            "address_2": "STE 2",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018441975",
            "telephone_number": "978-683-4114",
            "fax_number": "978-687-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.M.GANGI D.M.D.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "GANGI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "978-683-4114",
        "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": "MA",
            "license": "15474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Methuen, MA
• Providers in Methuen, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.