Active NPI
James Thomas Earl Jr., DDS
- Dentist
- Fort Stewart, GA
National Provider Identifier
1760117717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401417959
- Practice address
- Gulick Ave Dental Clinic #3
Ft Stewart, GA 31314 - Phone
- (912) 435-5546
- NPI assigned
- Jul 22, 2022
- Last updated
- Jul 22, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401417959 | VA | Primary |
Addresses
Primary practice location
Gulick Ave Dental Clinic #3
Ft Stewart, GA 31314
Mailing address
501 Gulick Ave, Ft. Stewart
Apo, AA 31314
Phone (912) 435-5826
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401417959 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658448000000",
"number": "1760117717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "501 GULICK AVE, FT. STEWART",
"city": "APO",
"state": "AA",
"postal_code": "31314",
"telephone_number": "912-435-5826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GULICK AVE DENTAL CLINIC #3",
"city": "FT STEWART",
"state": "GA",
"postal_code": "31314",
"telephone_number": "912-435-5546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARL",
"first_name": "JAMES",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-22",
"last_updated": "2022-07-22",
"certification_date": "2022-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401417959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Stewart, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.