Pryor Family Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PRYOR FAMILY DENTAL, LLC

Practice address

511 W Elsie St
Van Buren, MO 63965

Phone

(573) 323-4287

Fax

(573) 323-8120

NPI assigned

Jun 22, 2016

Last updated

Jul 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darren Pryor

Title

Business MGR

Phone

(573) 323-4287

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Eric Reid Darnell

  • General Practice Dentistry
  • Van Buren, MO
  • NPI 1144950445
  NPD (past)
• Christina Ann Pryor, DMD

  • General Practice Dentistry
  • Van Buren, MO
  • NPI 1902160302
  NPD (past)
• Gary Guy Tuttle, D.D.S.

  • General Practice Dentistry
  • Van Buren, MO
  • NPI 1568577740
  NPD (past)

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1396196234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "VAN BUREN",
            "state": "MO",
            "postal_code": "639650339",
            "telephone_number": "573-323-4287",
            "fax_number": "573-323-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W ELSIE ST",
            "city": "VAN BUREN",
            "state": "MO",
            "postal_code": "63965",
            "telephone_number": "573-323-4287",
            "fax_number": "573-323-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRYOR FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "PRYOR",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "BUSINESS MGR",
        "authorized_official_telephone_number": "573-323-4287"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Nelson, APRN
• Shelby Nicole Orchard
• Ozark Family Medical Clinic LLC (Ozark Family Medical Clinic, Van Buren)
• Linda Gail Payne
• Alexis Lynn Potter
• Christina Ann Pryor, DMD
• Tina M. Reed, M.A., L.P.C.
• Jennifer Robertsonj, COTA/L
• Select Physical Therapy Holdings, Inc. (Select Physical Therapy)
• Skyline Assisted Living LLC

• General Practice Dentistry in Van Buren, MO
• Providers in Van Buren, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.