Paull Christopher Gossett, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019018250 Issued in IL

Practice address

7045 Veterans Blvd
A1
Burr Ridge, IL 60527-5605

Phone

(708) 354-0835

Fax

(630) 325-5176

NPI assigned

Sep 5, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amm LTD

  • Dentist
  • Burr Ridge, IL
  • NPI 1891825527
  NPD (past) Authorized official
• Erich Hirsch DDS LC

  • General Practice Dentistry
  • Burr Ridge, IL
  • NPI 1912691031
  NPD (past)

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1770731531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7045 VETERANS BLVD",
            "address_2": "A1",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275605",
            "telephone_number": "708-354-0835",
            "fax_number": "630-325-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7045 VETERANS BLVD",
            "address_2": "A1",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275605",
            "telephone_number": "708-354-0835",
            "fax_number": "630-325-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSETT",
        "first_name": "PAULL",
        "middle_name": "CHRISTOPHER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-05",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019018250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah H Glavin, MD
• Samuel Golden, MD
• Eduardo Gomez
• Mark Joseph Gorzkowski, LCPC
• Iris Victoria Goss
• Great Lakes Endocrine and General Surgery LLC
• Jared Asher Greenberg, M.D.
• Sarah A Gura, M.A., L.C.P.C.
• Mark Anthony Gurgone, RPH., BCNP
• Subina Gurung, M.D.

• Dentist in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.