Ghali Ghali, DDS Professinal LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

4998 Issued in LA

Legal business name

GHALI GHALI, DDS PROFESSINAL LLC

Practice address

2409 Sportsman Dr
Phenix City, AL 36867-5402

Phone

(504) 641-4888

NPI assigned

Nov 9, 2016

Last updated

Nov 9, 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. Ge Ghali, DDS,MD,FACS,FRCS

Title

Owner/ DDS

Phone

(504) 641-4888

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1265974133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6513 PERKINS RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084259",
            "telephone_number": "504-641-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 SPORTSMAN DR",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368675402",
            "telephone_number": "504-641-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHALI GHALI, DDS PROFESSINAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "GHALI",
        "authorized_official_first_name": "GE",
        "authorized_official_title_or_position": "OWNER/ DDS",
        "authorized_official_telephone_number": "504-641-4888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MD,FACS,FRCS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "LA",
            "license": "4998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eric Paul Golden, PHARMD
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• Dental Clinic/Center in Phenix City, AL
• Providers in Phenix City, AL by specialty
• Dental Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.