Norvell Family Dentistry PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NORVELL FAMILY DENTISTRY PLLC

Practice address

821 W. Hwy 25W
Williamsburg, KY 40769

Phone

(606) 549-0374

NPI assigned

Oct 15, 2020

Last updated

Oct 15, 2020By 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. Jerrica M Norvell, DMDNPI 1801278973

Title

Owner

Phone

(606) 549-0374

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Jerrica Norvell, D.M.D.

  • General Practice Dentistry
  • Williamsburg, KY
  • NPI 1801278973
  Authorized official Same address or phone

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1215535810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "407690547",
            "telephone_number": "606-549-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 W. HWY 25W",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "40769",
            "telephone_number": "606-549-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORVELL FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "NORVELL",
        "authorized_official_first_name": "JERRICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-549-0374",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100376830",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edna Moses, APRN
• Little Boss Moses, D.M.D
• James Paisley Moss, M.D.
• John David Mountjoy, DMD
• Jessica R Noe, LPCC
• Jerrica Norvell, D.M.D.
• Eric Todd Overley, O.D.
• Aimee M Parham
• Kristin Parks
• Connor Garrett Partin

• Dental Clinic/Center in Williamsburg, KY
• Providers in Williamsburg, KY by specialty
• Dental Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.