Grand Avenue Dental Care

Primary specialty

DentistTaxonomy code 122300000X

License

506 Issued in WY

Legal business name

GRAND AVENUE DENTAL CARE

Practice address

303 S 8TH St
Laramie, WY 82070

Phone

(307) 745-5647

Fax

(307) 721-9866

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas McGarvey, DDS

Title

Dentist

Phone

(307) 745-5647

Specialties & licenses 1

Addresses

Other names 1

• Dr Thomas McGavey Other name

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427063825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S 8TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "82070",
            "telephone_number": "307-745-5647",
            "fax_number": "307-721-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S 8TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "82070",
            "telephone_number": "307-745-5647",
            "fax_number": "307-721-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND AVENUE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCGARVEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "307-745-5647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WY",
            "license": "506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Thomas McGavey",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Grace Counseling
• Kassidy Graham, LPC
• Susan Graham
• Tonja Graham
• Grand Ave Family Medicine
• Grand Avenue Urgent Care, LLC
• Carl Granderson
• Kylie Graney, DDS
• Shanae Grant
• Kevin Grauberger

• Dentist in Laramie, WY
• Providers in Laramie, WY by specialty
• Dentist in Wyoming

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