Gillette Dental Group, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

901 Issued in WY

Legal business name

GILLETTE DENTAL GROUP, PC

Practice address

196 Rolling Hill Dr
Daphne, AL 36526-7808

Phone

(251) 233-3024

NPI assigned

Jan 26, 2006

Last updated

Jun 3, 2010By 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. Michele Hand, DDS

Title

President

Phone

(251) 233-3024

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1609846971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1798",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365261798",
            "telephone_number": "251-233-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 ROLLING HILL DR",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267808",
            "telephone_number": "251-233-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILLETTE DENTAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "HAND",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-233-3024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "901",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "WY",
            "license": "529",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "WY",
            "license": "571",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "WY",
            "license": "837",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roderick Gibbs
• Thomas C Gibbs
• Ashley Gibson
• Chelcey Thompson Gibson, MS, LPC
• Nicole Gillespie, LICSW
• Glenn Houston Glass, DMD
• Glenn H Glass DMD Ms PC
• Melanie Dawn Godfrey, DC
• Darin R Goff, NP
• Jacob A Goff

• General Practice Dentistry in Daphne, AL
• Providers in Daphne, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.