Gregg L. Painter, DDS, PC

Primary specialty

DentistTaxonomy code 122300000X

License

060010749 Issued in IL

Legal business name

GREGG L. PAINTER, DDS, PC

Practice address

202 Summit St
Galena, IL 61036-1636

Phone

(815) 777-2338

Fax

(815) 777-2338

NPI assigned

Feb 7, 2012

Last updated

Feb 7, 2012By 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. Gregg L Painter, DDS

Title

President

Phone

(815) 777-2338

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1255603288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 SUMMIT ST",
            "city": "GALENA",
            "state": "IL",
            "postal_code": "610361636",
            "telephone_number": "815-777-2338",
            "fax_number": "815-777-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 SUMMIT ST",
            "city": "GALENA",
            "state": "IL",
            "postal_code": "610361636",
            "telephone_number": "815-777-2338",
            "fax_number": "815-777-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGG L. PAINTER, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "PAINTER",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-777-2338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "060010749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Galena, IL
• Providers in Galena, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.