Carroll Millard Gee Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401005226 Issued in VA

Practice address

121 Flat Rock Rd.
Kenbridge, VA 23944-0688

Phone

(434) 676-3067

Fax

(434) 676-3280

NPI assigned

Aug 22, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1376659227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 688",
            "city": "KENBRIDGE",
            "state": "VA",
            "postal_code": "239440688",
            "telephone_number": "434-676-3067",
            "fax_number": "434-676-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 FLAT ROCK RD.",
            "city": "KENBRIDGE",
            "state": "VA",
            "postal_code": "239440688",
            "telephone_number": "434-676-3067",
            "fax_number": "434-676-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEE",
        "first_name": "CARROLL",
        "middle_name": "MILLARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401005226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "651432",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "116862",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chris Buchanan, RPH
• Shakita Crenshaw
• Mikayla Sade' Cypress
• Epiphany II Unity House LLC
• Family Preservation Services, Inc
• Kenbridge Emergency Squad, Inc.
• Kenbridge Family Medicine Inc
• Kenbridge Family Medicine Inc
• Sharon Brown Lyles, ED.D.
• MBHS of Kenbridge, LLC (Kenbridge Youth Academy)

• General Practice Dentistry in Kenbridge, VA
• Providers in Kenbridge, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.