Gnegy Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GNEGY DENTAL ASSOCIATES

Practice address

570 Linn St
Suite 2
Allegan, MI 49010

Phone

(269) 673-3619

Fax

(269) 673-3682

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Wayne Gnegy, DMD

Title

President Owner

Phone

(269) 673-3619

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659430957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 LINN ST",
            "address_2": "SUITE 2",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "49010",
            "telephone_number": "269-673-3619",
            "fax_number": "269-673-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 LINN ST",
            "address_2": "SUITE 2",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "49010",
            "telephone_number": "269-673-3619",
            "fax_number": "269-673-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GNEGY DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GNEGY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "269-673-3619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "625904",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "D145330",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Fusillo, MD
• Ezequiel G Garcia, CAADC
• Maria A. Germain-Bush
• Geniene Michelle Gersh, PHD, LPC, NCC, LLP
• Luciano Giovannucci, D.C.
• Staci Lyn Gofton, LMSW
• Amanda Lee Goodman
• Emily L Gran
• David M Green, MA
• Mary Jo Griffith, RN

• General Practice Dentistry in Allegan, MI
• Providers in Allegan, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.