GC Dental Associates, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN11997 Issued in FL

Legal business name

GC DENTAL ASSOCIATES, PA

Practice address

1620 N US Highway 1
Suite 2
Tequesta, FL 33469-3228

Phone

(561) 746-3290

NPI assigned

Apr 8, 2015

Last updated

Apr 8, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Hickey, DMD

Title

Owner

Phone

(772) 359-8962

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1881080760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 SE KITCHING COVE LANE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "34952",
            "telephone_number": "772-359-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 N US HIGHWAY 1",
            "address_2": "SUITE 2",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334693228",
            "telephone_number": "561-746-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GC DENTAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "HICKEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-359-8962",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN11997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Tequesta, FL
• Providers in Tequesta, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.