Active NPI
Gregory R Prior, DDS
- General Practice Dentistry
- Clearwater, FL
National Provider Identifier
1932319910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN 15893
- Practice address
- 2467 Enterprise Rd
Suite F
Clearwater, FL 33763-1724 - Phone
- (727) 796-1713
- Fax
- (727) 791-0590
- NPI assigned
- May 22, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN 15893 | FL | Primary |
Addresses
Primary practice location
2467 Enterprise Rd
Suite F
Clearwater, FL 33763-1724
Mailing address
2467 Enterprise Rd
Suite F
Clearwater, FL 33763-1724
Phone (727) 796-1713
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 15893 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amg Dentistry & Wellness LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Clearwater, FL
- NPI 1770912537
-
- General Practice Dentistry
- Clearwater, FL
- NPI 1891600193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932319910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2467 ENTERPRISE RD",
"address_2": "SUITE F",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337631724",
"telephone_number": "727-796-1713",
"fax_number": "727-791-0590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2467 ENTERPRISE RD",
"address_2": "SUITE F",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337631724",
"telephone_number": "727-796-1713",
"fax_number": "727-791-0590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIOR",
"first_name": "GREGORY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN 15893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
- Prime Interventional Consultants Corp
- Prime Properties of Clearwater Inc (dba Belleair Country House)
- Maday Primelles, BEHAVIOR THERAPIST
- Titi Wawa Princia Christy, RN
- Katherine Adriane Prine
- Priority Kids Therapy LLC
- Priority Medical, LLC
- Shandrika Victoria Pritchett, APRN
- Amanda Prive, PH.D.
- Proactive Behavior Solutions Incorporated
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.