Family Dental Care of Gainesville, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

24498 Issued in TX

Legal business name

FAMILY DENTAL CARE OF GAINESVILLE, PLLC

Practice address

112 N Denton St
Gainesville, TX 76240-4158

Phone

(940) 665-4211

Fax

(940) 665-9581

NPI assigned

Jun 21, 2011

Last updated

Jun 21, 2011By 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

Dr. Matthew Anthony Bayne, D.D.S.NPI 1518167915

Title

Member

Phone

(210) 781-9680

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, and the practitioner matching its NPPES authorized official.

• Matthew Bayne, D.D.S.

  • Dentist
  • Paradise Valley, AZ
  • NPI 1518167915
  NPD (past) Authorized official

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1508152356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 CRYSTAL BROOKE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518238",
            "telephone_number": "940-665-4211",
            "fax_number": "940-665-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N DENTON ST",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762404158",
            "telephone_number": "940-665-4211",
            "fax_number": "940-665-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL CARE OF GAINESVILLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "BAYNE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "210-781-9680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "24498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Diane Ellis, CNM
• Emily Schmitz NP PLLC
• Erin Erbskorn, NP
• David Lee Eurich, DDS
• Family Chiropractic & Wellness Center of Gainesville
• Family Practice Associates ,P.a.
• Tayana Fernandez, DMD
• Eric Fisher, D.D.S.
• Jaclynn Rose Fisher, O.D.
• Roger Dean Flanagan, PHARM D, CDE

• Dental Clinic/Center in Gainesville, TX
• Providers in Gainesville, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.