Clara Gulley, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31676 Issued in TX

Practice address

402 S Washington Ave
Livingston, TX 77351-3447

Phone

(362) 621-9119

NPI assigned

Jun 28, 2016

Last updated

May 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• B&G Family Dentistry PLLC

  • General Practice Dentistry
  • Livingston, TX
  • NPI 1881252765
  NPD Authorized official

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1366893737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 CITYWEST BLVD",
            "address_2": "BUILDING 4 SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S WASHINGTON AVE",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773513447",
            "telephone_number": "362-621-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLEY",
        "first_name": "CLARA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaniqua Green
• Paul Francis Griffin, MSPT
• Anna Grimmett
• Jeancarlo Antonio Guerrero
• Ayaba Guiste, D.D.S.
• Tracy Lee Gustafson, M.D.
• Jessica Haffner
• Harbor Home Health LP
• Harbor Hospice of Livingston LP
• Isabelle Harpey

• General Practice Dentistry in Livingston, TX
• Providers in Livingston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.