B.Brenda Gong, DDS.,PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9718 Issued in NC

Legal business name

B.BRENDA GONG, DDS.,PA

Practice address

86 E Depot St
Angier, NC 27501-6083

Phone

(919) 639-3911

NPI assigned

Nov 8, 2016

Organization subpart

No

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

Authorized official

Name

Boksoon Brenda Gong

Title

President

Phone

(919) 830-1373

Specialties & licenses 1

Addresses

Other names 1

• Accent Family Dentistry Doing business as

Locations

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1861934895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 E DEPOT ST",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "275016083",
            "telephone_number": "919-639-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 E DEPOT ST",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "275016083",
            "telephone_number": "919-639-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B.BRENDA GONG, DDS.,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "GONG",
        "authorized_official_first_name": "BOKSOON",
        "authorized_official_middle_name": "BRENDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-830-1373"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accent Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angier Family Pharmacy, LLC
• Angier Family Pharmacy, LLC
• Angier Medical Services, LLC
• Caroline Jean Ashley
• Augusta Ashworth
• Makenzie Bachman, PA-C
• Laura F Baker
• Paige Elizabeth Barrett
• Wilton Ervin Baskett II, ATC
• Erica Joy Bateman, PA-C

• General Practice Dentistry in Angier, NC
• Providers in Angier, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.