Active NPI
Phillip D. Gould, DMD, LLC
- Dental Clinic/Center
- Greenville, SC
National Provider Identifier
1720617137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- PHILLIP D. GOULD, DMD, LLC
- Practice address
- 127 Hunts Bridge Rd
Greenville, SC 29617-1623 - Phone
- (864) 246-6471
- NPI assigned
- Apr 7, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Phillip David Gould, DMD
- Title
- General Dentist/ Owner
- Phone
- (864) 360-0982
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
127 Hunts Bridge Rd
Greenville, SC 29617-1623
Mailing address
15 Wiuka Ave
Greenville, SC 29607-3117
Phone (803) 360-0982
National Provider Directory
National Provider DirectoryLocations
127 Hunts Bridge Rd
Greenville, SC 29617
Phone (864) 246-6471
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Greenville, SC
- NPI 1962923888
-
- General Practice Dentistry
- Greenville, SC
- NPI 1043296791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591574400000",
"number": "1720617137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 WIUKA AVE",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296073117",
"telephone_number": "803-360-0982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 HUNTS BRIDGE RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296171623",
"telephone_number": "864-246-6471"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHILLIP D. GOULD, DMD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-07",
"last_updated": "2020-06-08",
"certification_date": "2020-06-08",
"status": "A",
"authorized_official_last_name": "GOULD",
"authorized_official_first_name": "PHILLIP",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "GENERAL DENTIST/ OWNER",
"authorized_official_telephone_number": "864-360-0982",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.