Westgate Dental Group PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22175 Issued in TX

Legal business name

WESTGATE DENTAL GROUP PLLC

Doing business as

Westgate Dental

Practice address

520 W Brown St
Suite a
Wylie, TX 75098-5815

Phone

(972) 248-1221

Fax

(972) 248-1072

NPI assigned

Apr 14, 2010

Last updated

Apr 14, 2010By 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

G Scott Marshall, DDS

Title

Owner/Partner

Phone

(972) 248-1221

Specialties & licenses 1

Addresses

Other names 1

• Westgate Dental Doing business as

Locations

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1407172570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17480 DALLAS PKWY",
            "address_2": "SUITE 213",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877337",
            "telephone_number": "972-248-1221",
            "fax_number": "972-248-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W BROWN ST",
            "address_2": "SUITE A",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750985815",
            "telephone_number": "972-248-1221",
            "fax_number": "972-248-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTGATE DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "G",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "972-248-1221",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westgate Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Wylie, TX
• Providers in Wylie, 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 Apr 14, 2010; 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.