Organization Active NPI

R Joseph Gore DDS PA

  • General Practice Dentistry
  • Salisbury, MD
National Provider Identifier
1760667539
Registry record updated Dec 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
04992 Issued in MD
Legal business name
R JOSEPH GORE DDS PA
Practice address
1412 South Salisbury Boulevard
Suite #4
Salisbury, MD 21801
Phone
(410) 749-5115
NPI assigned
Dec 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2007

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

Authorized official

Name
Dr. Robert Joseph Gore, DDS PANPI 1326223199
Title
President
Phone
(410) 749-5115

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 04992 MD Primary

Addresses

Primary practice location

1412 South Salisbury Boulevard
Suite #4
Salisbury, MD 21801

Mailing address

1412 South Salisbury Boulevard
Suite #4
Salisbury, MD 21801
Phone (410) 749-5115

National Provider Directory

National Provider Directory

Locations

1412 S Salisbury Blvd
Ste 4
Salisbury, MD 21801
Phone (410) 749-5115

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1198886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198886400000",
    "number": "1760667539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 SOUTH SALISBURY BOULEVARD",
            "address_2": "SUITE #4",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21801",
            "telephone_number": "410-749-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 SOUTH SALISBURY BOULEVARD",
            "address_2": "SUITE #4",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21801",
            "telephone_number": "410-749-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R JOSEPH GORE DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-29",
        "last_updated": "2007-12-29",
        "status": "A",
        "authorized_official_last_name": "GORE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-749-5115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS PA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "04992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2007; 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.