NPIMap

Organization Active NPI

Somerset Dental Group PLLC

Doing business as Family Choice Dental Center

  • Dentist
  • Somerset, TX
National Provider Identifier
1295860534
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10761 Issued in TX
Legal business name
SOMERSET DENTAL GROUP PLLC
Doing business as
Family Choice Dental Center
Practice address
19585 K Street
Somerset, TX 78069
Phone
(830) 429-3000
Fax
(830) 429-3005
NPI assigned
Feb 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gary Peter Guillory, DDSNPI 1033244371
Title
Owner President
Phone
(210) 227-0101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 16271 TX
Dentist 122300000X 10761 TX Primary

Addresses

Primary practice location

19585 K Street
Somerset, TX 78069

Mailing address

PO Box 38
Somerset, TX 78069
Phone (830) 429-3000

Other names 1

  • Family Choice Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

19585 K St
Somerset, TX 78069
Phone (830) 429-0000

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295860534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "SOMERSET",
            "state": "TX",
            "postal_code": "78069",
            "telephone_number": "830-429-3000",
            "fax_number": "830-429-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19585 K STREET",
            "city": "SOMERSET",
            "state": "TX",
            "postal_code": "78069",
            "telephone_number": "830-429-3000",
            "fax_number": "830-429-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERSET DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUILLORY",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "210-227-0101",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "16271",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "10761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Choice Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerset, TX

Sources for this page

  • 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.