Gautier Dental Center P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

256790 Issued in MS

Legal business name

GAUTIER DENTAL CENTER P.A.

Practice address

713 Highway 90
Gautier, MS 39553-5609

Phone

(228) 497-2351

NPI assigned

Mar 5, 2008

Organization subpart

No

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

Authorized official

Name

William Parrish, DMD

Title

President

Phone

(228) 497-2351

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1659541704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 HIGHWAY 90",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395535609",
            "telephone_number": "228-497-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 HIGHWAY 90",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395535609",
            "telephone_number": "228-497-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAUTIER DENTAL CENTER P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "PARRISH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "228-497-2351",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MS",
            "license": "256790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GAUTIER DENTAL",
            "identifier": "456789101112",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noe Garcia
• Dorothy Mae Gary
• Meaghan Elizabeth Gates
• Alicia Gatz
• Gautier Chiropractic Group
• Gautier Family Clinic, LLC
• Gautier Family Dental
• Gautier Wellness LLC
• Debra S Gautier, RN
• Constance D. George, THERAPIST BA

• Dentist in Gautier, MS
• Providers in Gautier, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.