Douglas G Jewson DDS PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

5503 Issued in NC

Legal business name

DOUGLAS G JEWSON DDS PA

Practice address

5318 W Friendly Ave
Greensboro, NC 27410-4369

Phone

(336) 299-9500

Fax

(336) 854-1620

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Jewson, DDS

Title

Dentist ,Owner

Phone

(336) 299-9500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255482006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 W FRIENDLY AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104369",
            "telephone_number": "336-299-9500",
            "fax_number": "336-854-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 W FRIENDLY AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104369",
            "telephone_number": "336-299-9500",
            "fax_number": "336-854-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS G JEWSON DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JEWSON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "DENTIST ,OWNER",
        "authorized_official_telephone_number": "336-299-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "5503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Caitlin Doss
• Livina Dosu
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• Douglas a Kellogg DDS PA
• Garrett Samuel Douglas
• Vicki Yvonne Douglas, RN
• Wendy Michele Douglas, MA, LCMHCA, NCC
• Anastassia Doutova, M.D.
• Dove Medical Supply Retail LLC

• Dental Clinic/Center in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Dental Clinic/Center in North Carolina

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