Philip A Gentry, DDS, FAGD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401007345 Issued in VA

Practice address

1831 Wilson Blvd
Arlington, VA 22201

Phone

(703) 522-7733

Fax

(703) 528-7341

NPI assigned

Apr 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Gentry & Coutin D.D.S. P.C.

  • General Practice Dentistry
  • Arlington, VA
  • NPI 1225247414
  NPD (past) Authorized official

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1811019086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 WILSON BLVD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222013002",
            "telephone_number": "703-522-7733",
            "fax_number": "703-528-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 WILSON BLVD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22201",
            "telephone_number": "703-522-7733",
            "fax_number": "703-528-7341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 W Baltimore St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011510",
            "country_code": "US",
            "telephone_number": "410-706-0844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "PHILIP",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS, FAGD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "15305",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Eldercare Physician Services I LLC
• Genesis Eldercare Physician Services LLC
• Genoa Healthcare LLC
• Gentle Care Dentists
• Gentry & Coutin D.D.S. P.C.
• Amanda Fino George, DNP
• Lauren Ashley George, M.S.
• Georgetown University Hospital
• Stephen Henry Gerber
• Geriatrics Group of Northern Virginia,Inc.

• General Practice Dentistry in Arlington, VA
• Providers in Arlington, VA by specialty
• General Practice Dentistry in Virginia

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