Family Dentistry Town Center, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

0401005542 Issued in VA

Legal business name

FAMILY DENTISTRY TOWN CENTER, INC.

Practice address

310 Horace Ave
Virginia Beach, VA 23462-2704

Phone

(757) 497-3279

NPI assigned

Mar 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gwendolyn A. Holley, D.D.S.NPI 1780721316

Title

President

Phone

(757) 497-3279

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Gwendolyn A. Holley, D.D.S

  • General Practice Dentistry
  • Virginia Beach, VA
  • NPI 1780721316
  NPD (past) Authorized official

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1417128240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 HORACE AVE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622704",
            "telephone_number": "757-497-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 HORACE AVE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622704",
            "telephone_number": "757-497-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTISTRY TOWN CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "HOLLEY",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-497-3279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401005542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Chiropractic & Acupuncture, P.C.
• Family Chiropractic of Hampton Roads, PLLC
• Family Connections
• Family Counseling Center
• Family Dental of Virginia, LLC
• Family Enrichment Center, LLC
• Family First Home Healthcare ,LLC
• Family First Management Care
• Family Medical Practitioners, Inc
• Family Ties Home Health LLC

• Dentist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.