Dothan Cosmetic Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4432 Issued in AL

Legal business name

DOTHAN COSMETIC DENTISTRY, PC

Practice address

2431 W Main St
Suite 401
Dothan, AL 36301-1217

Phone

(334) 673-7440

Fax

(334) 673-7528

NPI assigned

Jun 15, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Geoffrey Mathews Gaunt, D.M.DNPI 1346303591

Title

Owner

Phone

(334) 673-7440

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Geoffrey Mathews Gaunt, D.M.D.

  • General Practice Dentistry
  • Dothan, AL
  • NPI 1346303591
  NPD (past) Authorized official

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1821383035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 W MAIN ST",
            "address_2": "SUITE 401",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011217",
            "telephone_number": "334-673-7440",
            "fax_number": "334-673-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 W MAIN ST",
            "address_2": "SUITE 401",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011217",
            "telephone_number": "334-673-7440",
            "fax_number": "334-673-7528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOTHAN COSMETIC DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "GAUNT",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "MATHEWS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-673-7440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dothan Behavioral Medicine Clinic PC
• Dothan Behavioral Medicine Clinic PC
• Dothan Brace Shop
• Dothan Chiropractic Clinic, P.C.
• Dothan City
• Dothan Counseling Associates, P.C.
• Dothan Dental Group, PC
• Dothan Diagnostic Imaging Radiology, PLLC
• Dothan Diagnostic Imaging, Inc
• Dothan Endo, LLC

• General Practice Dentistry in Dothan, AL
• Providers in Dothan, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.