Gordon Averill, DMD and Angie Dunkling, DMD Dental Services Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS101899 Issued in CA

Legal business name

GORDON AVERILL, DMD AND ANGIE DUNKLING, DMD DENTAL SERVICES INC

Doing business as

26th Street Dental

Practice address

270 26TH St Ste 301
Santa Monica, CA 90402-2567

Phone

(561) 405-8270

NPI assigned

Jun 27, 2018

Last updated

Jun 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gordon Averill, DMDNPI 1043695513

Title

President

Phone

(561) 405-8270

Specialties & licenses 1

Addresses

Other names 1

• 26th Street Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gordon Averill, D.M.D

  • Dentist
  • Matthews, NC
  • NPI 1043695513
  NPD Authorized official

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1770078248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 26TH ST STE 301",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904022567",
            "telephone_number": "561-405-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 26TH ST STE 301",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904022567",
            "telephone_number": "561-405-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON AVERILL, DMD AND ANGIE DUNKLING, DMD DENTAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "AVERILL",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-405-8270",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS101899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "26th Street Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristy Marie Goodman, MS, MPH, PA-C
• Rebecca Goodrich
• Leslie Goodwin
• Clarissa A Gooze, FNP
• Natasha Gorby, OTR/L
• Evan Ross Gordon-Wollin, D.O.
• Alan T Gordon, LCSW
• Bruce R. Gordon, PH.D.
• Claire Gordon
• Earl Mark Gordon, M.D.

• General Practice Dentistry in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.