Gilmer Street Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25735 Issued in TX

Legal business name

GILMER STREET DENTAL, PLLC

Doing business as

Family Smiles of Sulphur Springs

Practice address

610 Gilmer St
Sulphur Springs, TX 75482-4193

Phone

(949) 220-7833

NPI assigned

May 10, 2018

Organization subpart

No

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

Authorized official

Name

Craig Copeland, DMD

Title

Owner/Dentist

Phone

(940) 220-7833

Specialties & licenses 1

Addresses

Other names 1

• Family Smiles of Sulphur Springs Doing business as

Locations

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1518457027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 E MCKINNEY ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762097557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 GILMER ST",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754824193",
            "telephone_number": "949-220-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILMER STREET DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "940-220-7833",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Smiles of Sulphur Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaslyn Christine Galvan
• Rebecca Godwin Garcia
• Jennifer L Garriga, CPNP
• Marcos Antonio Garza, LAT
• Tiffany Sims Gebel, M.D.
• Gary Raymond Gisch, DDS
• Gloria Gisch, RPH
• Taylor Wren Gordon
• Christin Gortmaker, PTA
• Nivas Govindarajan, MD

• General Practice Dentistry in Sulphur Springs, TX
• Providers in Sulphur Springs, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.