GV Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4639 Issued in NE

Legal business name

GV DENTAL, LLC

Doing business as

Gufford Dental

Practice address

1605 E Military Ave
Fremont, NE 68025-5463

Phone

(402) 721-8770

NPI assigned

Jul 26, 2016

Last updated

Sep 22, 2016By 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. Justin S Gufford, DDS

Title

Dr./ Owner

Phone

(402) 721-8770

Specialties & licenses 2

Addresses

Other names 1

• Gufford Dental Doing business as

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.

• Richard Earl Callaway, D.D.S.

  • Dentist
  • Fremont, NE
  • NPI 1407073406
  NPD (past)
• Nathaniel Heimann, DDS

  • Dentist
  • Fremont, NE
  • NPI 1710721881
  NPD (past)

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1205389301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 E MILITARY AVE",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680255463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 E MILITARY AVE",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680255463",
            "telephone_number": "402-721-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GV DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "GUFFORD",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DR./ OWNER",
        "authorized_official_telephone_number": "402-721-8770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7221",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "4639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gufford Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Skyler Sue Groebli, PLMHP, PLADC
• Paige L Groppe Giesselmann, M.D.
• Gross, Iwersen, Kratochvil & Klein MD PC (Gikk Ortho Specialists)
• Megan Grote, APRN
• Mikayla Rae Guel
• GW & Pe Incorp. (Payne's Hearing Professionals)
• Jamie Haferbier Gustafson, MD
• Janet Rae Hagerbaumer, L.M.T.
• Terri Annette Haith
• Kimberly Hale, DPT

• General Practice Dentistry in Fremont, NE
• Providers in Fremont, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.