Good Neighbor Dental at Willow Oaks PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401007257 Issued in VA

Legal business name

GOOD NEIGHBOR DENTAL AT WILLOW OAKS PLLC

Practice address

208 Fox Hill Rd
Hampton, VA 23669-1780

Phone

(757) 850-2100

Fax

(757) 850-0960

NPI assigned

Apr 22, 2014

Last updated

Apr 22, 2014By 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

Sheryl Brown

Title

Director of Operations

Phone

(757) 784-8070

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1447670120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 FOX HILL RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236691780",
            "telephone_number": "757-850-2100",
            "fax_number": "757-850-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 FOX HILL RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236691780",
            "telephone_number": "757-850-2100",
            "fax_number": "757-850-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD NEIGHBOR DENTAL AT WILLOW OAKS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "757-784-8070"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401414304",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Gonzales, PHARM.D.
• Rose Marie Gonzales, DDS
• Laura Gonzalez Castro, LPC
• Christina Gonzalez-Wilson, W.H.N.P, M.S.N.
• Jose Gonzalez Jr., MSW
• Good Shepherd House, Inc
• Paul Yuri Gooding, LPC
• Melissa Simona Goodwin, DNP, RN, PMHNP-BC,
• Tyler Goon, FNP
• Kathlin Marea Gordon, RDN, CDE

• General Practice Dentistry in Hampton, VA
• Providers in Hampton, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.