Gentle Family Dentists

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

6899 Issued in IA

Legal business name

GENTLE FAMILY DENTISTS

Practice address

1205 N Columbus St
West Liberty, IA 52776-9601

Phone

(319) 627-2612

Fax

(319) 627-2178

NPI assigned

May 15, 2008

Last updated

Jan 9, 2013By 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

Dr. Carol L Moreno, DDSNPI 1174635221

Title

Owner

Phone

(319) 627-2612

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carol Lynn Moreno, D.D.S

  • General Practice Dentistry
  • West Liberty, IA
  • NPI 1174635221
  NPD (past) Authorized official
• Carolyn Ann Duong, DDS

  • General Practice Dentistry
  • West Liberty, IA
  • NPI 1376037291
  NPD (past)
• Roberto Alexis Moreno, D.D.S.

  • General Practice Dentistry
  • West Liberty, IA
  • NPI 1396056685
  NPD (past)

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1932376191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 N COLUMBUS ST",
            "city": "WEST LIBERTY",
            "state": "IA",
            "postal_code": "527769601",
            "telephone_number": "319-627-2612",
            "fax_number": "319-627-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N COLUMBUS ST",
            "city": "WEST LIBERTY",
            "state": "IA",
            "postal_code": "527769601",
            "telephone_number": "319-627-2612",
            "fax_number": "319-627-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE FAMILY DENTISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-627-2612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IA",
            "license": "6899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khetlhamany Erika Bannavong, M.A., CCC-SLP
• Christine Blake, APRN
• City of West Liberty
• City of West Liberty (West Liberty Volunteer Fire Department)
• Carolyn Ann Duong, DDS
• Lauren E Hanna, MD
• Hy-Vee Inc (Hy-Vee Drugstore (3042))
• Yurico Johana Maldonado
• MCLD Corporation (West Liberty)
• Mercy Services Iowa City, Inc.

• Dental Clinic/Center in West Liberty, IA
• Providers in West Liberty, IA by specialty
• Dental Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.