Gregory J Atwood DDS LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GREGORY J ATWOOD DDS LTD

Doing business as

Atwood Family Dentistry

Practice address

2455 E 11TH St
Odessa, TX 79761-4232

Phone

(432) 337-6165

NPI assigned

Dec 26, 2019

Last updated

Dec 26, 2019By 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

Faith Gaskins

Title

Director of Credentialing

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Atwood Family Dentistry Doing business as

Locations

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.

• Gregory Jan Atwood, DDS

  • General Practice Dentistry
  • Odessa, TX
  • NPI 1780746024
  NPD (past)

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577318400000",
    "number": "1245879154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 E 11TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614232",
            "telephone_number": "432-337-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 E 11TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614232",
            "telephone_number": "432-337-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY J ATWOOD DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-26",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atwood Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Green, FNP
• Beth Elkins Green, MD
• Sherry Deborah Green
• Todd Joseph Greer
• Brooks Ross Greger II, CRNA
• Brian W Griffin, NP
• Bobbie J Grimes
• Nicole Harris Grimes, APRN, FNP-C
• Guadalupe Valley Surgical Associates PA (Permian Basin Surgical Assoc)
• Vamsi Krishna Gudapati

• General Practice Dentistry in Odessa, TX
• Providers in Odessa, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.