Joel a. Gentry, DDS, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

5708 Issued in NC

Legal business name

JOEL A. GENTRY, DDS, PLLC

Practice address

212 W Lexington Ave
Suite 102
High Point, NC 27262-2534

Phone

(336) 886-4933

Fax

(336) 886-4485

NPI assigned

Jan 29, 2008

Last updated

Aug 29, 2012By 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

Joel A Gentry, DDSNPI 1790708642

Title

Dentist

Phone

(336) 886-4933

Specialties & licenses 1

Addresses

Other identifiers 5

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.

• Joel Alexander Gentry, DDS

  • Dentist
  • High Point, NC
  • NPI 1790708642
  NPD (past) Authorized official

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1770760126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W LEXINGTON AVE",
            "address_2": "SUITE 102",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272622534",
            "telephone_number": "336-886-4933",
            "fax_number": "336-886-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W LEXINGTON AVE",
            "address_2": "SUITE 102",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272622534",
            "telephone_number": "336-886-4933",
            "fax_number": "336-886-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL A. GENTRY, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "GENTRY",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "336-886-4933",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "5708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "549026",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8993142",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "6689340001",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS- ALA",
            "identifier": "81044434",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "93142",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in High Point, NC
• Providers in High Point, NC by specialty
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.