Greencastle Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GREENCASTLE DENTAL

Practice address

195 Greencastle Rd
Tyrone, GA 30290-2938

Phone

(770) 486-5585

NPI assigned

Aug 2, 2017

Organization subpart

No

Name

Mrs. Angela Holly Cope

Title

Front Office

Phone

(770) 486-5585

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Cary Dunson, DDS

  • Dentist
  • Tyrone, GA
  • NPI 1457325409
  NPD (past)
• Jason Rex Lee, DMD

  • Dentist
  • Tyrone, GA
  • NPI 1912971805
  NPD (past)
• Gabriel Perez-Gonzalez, DMD

  • Dentist
  • Tyrone, GA
  • NPI 1023740164
  NPD (past)

Locations

• Greencastle Dental Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 9, 2017.

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502236800000",
    "number": "1699299545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 GREENCASTLE RD",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302902938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 GREENCASTLE RD",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302902938",
            "telephone_number": "770-486-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENCASTLE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2017-08-09",
        "status": "A",
        "authorized_official_last_name": "COPE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "HOLLY",
        "authorized_official_title_or_position": "FRONT OFFICE",
        "authorized_official_telephone_number": "770-486-5585",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greencastle Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Greencastle Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• All providers in Tyrone, GA
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; 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.