Gavin Trogdon DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3959 Issued in AR

Legal business name

GAVIN TROGDON DDS PA

Practice address

181 W Main St
Farmington, AR 72730-2945

Phone

(479) 267-5009

Fax

(479) 267-5029

NPI assigned

Dec 3, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Gavin Trogdon, DDS, PA

Title

Owner/Dentist

Phone

(479) 267-5009

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brooklyn Elizabeth Eason, DDS

  • Dentist
  • Van Buren, AR
  • NPI 1821773599
  NPD (past)

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1386041549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 W MAIN ST",
            "city": "FARMINGTON",
            "state": "AR",
            "postal_code": "727302945",
            "telephone_number": "479-267-5009",
            "fax_number": "479-267-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 W MAIN ST",
            "city": "FARMINGTON",
            "state": "AR",
            "postal_code": "727302945",
            "telephone_number": "479-267-5009",
            "fax_number": "479-267-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAVIN TROGDON DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "TROGDON",
        "authorized_official_first_name": "GAVIN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "479-267-5009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, PA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198735608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Flood
• Brooke Flumm
• Foundational Futures PLLC
• Julia Maria Fuster, PA-C
• Sherri Gansz, LCSW
• Holland Michelle Gazaway, M.S. CCC-SLP
• Paige Marie Gentry
• Kathryn Brooks Gillerlain, MPH, RD, LDN, CSCS
• Amy Gillham
• Mittie Bernice Greening, SPEECH THERAPY ASSIS

• General Practice Dentistry in Farmington, AR
• Providers in Farmington, AR by specialty
• General Practice Dentistry in Arkansas

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