Organization Active NPI

Dr Donna Michelle Gentry DDS PLLC

  • Dental Clinic/Center
  • Cedar Point, NC
National Provider Identifier
1497260707
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
9838 Issued in NC
Legal business name
DR DONNA MICHELLE GENTRY DDS PLLC
Practice address
1165 Cedar Point Blvd Ste P
Cedar Point, NC 28584-1030
Phone
(252) 764-2784
Fax
(252) 764-2790
NPI assigned
Dec 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2017

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

Authorized official

Name
Carlo Cruz
Title
Office Manager
Phone
(252) 764-2784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 9838 NC Primary

Addresses

Primary practice location

1165 Cedar Point Blvd Ste P
Cedar Point, NC 28584-1030

Mailing address

1165 Cedar Point Blvd Ste P
Cedar Point, NC 28584-1030
Phone (252) 764-2784

National Provider Directory

National Provider Directory

Locations

1165 Cedar Point Blvd
Ste P
Cedar Point, NC 28584
Phone (252) 764-2784

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1497260707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 CEDAR POINT BLVD STE P",
            "city": "CEDAR POINT",
            "state": "NC",
            "postal_code": "285841030",
            "telephone_number": "252-764-2784",
            "fax_number": "252-764-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 CEDAR POINT BLVD STE P",
            "city": "CEDAR POINT",
            "state": "NC",
            "postal_code": "285841030",
            "telephone_number": "252-764-2784",
            "fax_number": "252-764-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DONNA MICHELLE GENTRY DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2017-12-08",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "CARLO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "252-764-2784"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "9838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; 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.