Green Valley Dental Specialties

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

GREEN VALLEY DENTAL SPECIALTIES

Practice address

101 S la Canada Dr Ste 54
Green Valley, AZ 85614-2664

Phone

(520) 625-2311

Fax

(520) 625-2090

NPI assigned

Nov 13, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Harry Jamison, D.D.S.

Title

Owner

Phone

(520) 625-2311

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1316582323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S LA CANADA DR STE 54",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856142664",
            "telephone_number": "520-625-2311",
            "fax_number": "520-625-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S LA CANADA DR STE 54",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856142664",
            "telephone_number": "520-625-2311",
            "fax_number": "520-625-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN VALLEY DENTAL SPECIALTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-625-2311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Gomez, NP
• Hazel Gonzales
• Antonio Jose Luis Gonzalez
• Julia Frances Granone, DPM
• Green Valley Chiropractic Center Inc.
• Green Valley Family Care
• Green Valley Memory Associates, LLC (Canyon Valley Memory Care)
• Green Valley Physical Medicine, Inc
• Colleen M Green, PMHNP-BC
• Vicki L Greiff, MD

• Periodontics in Green Valley, AZ
• Providers in Green Valley, AZ by specialty
• Periodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.