George Gray Flynn, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

8514 Issued in FL

Practice address

2468 Blanding Blvd
Suite 103
Middleburg, FL 32068-5193

Phone

(904) 282-5025

NPI assigned

Dec 15, 2011

Last updated

Apr 19, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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.

• G. Gray Flynn, DMD, PA

  • Dental Clinic/Center
  • Middleburg, FL
  • NPI 1366593568
  NPD (past)

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1861761132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2468 BLANDING BLVD",
            "address_2": "SUITE 103",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320685193",
            "telephone_number": "904-282-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2468 BLANDING BLVD",
            "address_2": "SUITE 103",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320685193",
            "telephone_number": "904-282-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "GEORGE",
        "middle_name": "GRAY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-15",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "8514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Fariborzian, MD
• Amber B Feinman, AMBER FEINMAN, D.O.
• Michelle Nicole Fiallo, LMHC, CCTP
• First Coast Surgical Assistants
• Florida Cancer Specialists & Research Institute, LLC
• Ashley Foltz
• Rebecca Lynn Foster, LCSW
• Mary Elizabeth Franco, MA CSMG
• Isis Frazer
• Functional Solutions, LLC

• Dentist in Middleburg, FL
• Providers in Middleburg, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.