Organization Active NPI

Perry County Dental Group, Inc

  • General Practice Dentistry
  • New Lexington, OH
National Provider Identifier
1790958635
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PERRY COUNTY DENTAL GROUP, INC
Practice address
257 E Jefferson St
New Lexington, OH 43764-1060
Phone
(740) 342-4156
Fax
(740) 342-4156
NPI assigned
Apr 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Authorized official

Name
Dr. Robert Gray Hagy, DMDNPI 1346350113
Title
President
Phone
(740) 342-4156

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 Primary

Addresses

Primary practice location

257 E Jefferson St
New Lexington, OH 43764-1060

Mailing address

257 E Jefferson St
New Lexington, OH 43764-1060
Phone (740) 342-4156

National Provider Directory

National Provider Directory

Locations

257 E Jefferson St
New Lexington, OH 43764
Phone (740) 342-4156

Practitioners & affiliated clinicians

Practitioners 8

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": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1790958635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 E JEFFERSON ST",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "437641060",
            "telephone_number": "740-342-4156",
            "fax_number": "740-342-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 E JEFFERSON ST",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "437641060",
            "telephone_number": "740-342-4156",
            "fax_number": "740-342-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY COUNTY DENTAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "HAGY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GRAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-342-4156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lexington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.