Gilmer Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GILMER DENTAL PLLC

Practice address

409 W Tyler St
Gilmer, TX 75644-2138

Phone

(903) 843-2996

NPI assigned

Sep 14, 2020

Organization subpart

No

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

Authorized official

Name

Tee Semera

Title

Credentialing Manager

Phone

(469) 556-9000

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 3

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

• Solji Jung Paek, DDS

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1376113084
  NPD (past)
• Jimmy Michael Taylor, DDS

  • General Practice Dentistry
  • Gilmer, TX
  • NPI 1790765188
  NPD (past)
• Brent A Palmer, D.M.D.

  • Dentist
  • Bountiful, UT
  • NPI 1558745224

  General Practice

  NPD (past)

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1881209112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 W GREEN OAKS BLVD STE 103",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760138349",
            "telephone_number": "830-426-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W TYLER ST",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "756442138",
            "telephone_number": "903-843-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILMER DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "SEMERA",
        "authorized_official_first_name": "TEE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "469-556-9000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tee.semera@altiusdental.com",
            "affiliation": "N",
            "address_1": "409 W Tyler St",
            "city": "Gilmer",
            "state": "TX",
            "country_code": "US",
            "postal_code": "756442138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pamela Jane Fisher, LCSW
• Fpacp Upshur LLC
• Joshua K Furniss, DDS
• Gezond Therapy Services
• Caitlyn Paige Gibson, RN
• Gilmer Drug Company
• Gilmer I Enterprises, L.L.C.
• Gilmer Isd
• Gilmer Nursing and Rehabilitation, LP
• Gilmer Senior Care L.P.

• General Practice Dentistry in Gilmer, TX
• Providers in Gilmer, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.