Amarillo Denture Clinic, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

27147 Issued in TX

Legal business name

AMARILLO DENTURE CLINIC, PLLC

Practice address

1900 S Coulter St
E
Amarillo, TX 79106-1784

Phone

(817) 336-2121

NPI assigned

Feb 24, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Gordon Clark Damon Jr., DDS

Title

Owner/President

Phone

(817) 336-2121

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1932591211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S COULTER ST",
            "address_2": "E",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061784",
            "telephone_number": "817-336-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S COULTER ST",
            "address_2": "E",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061784",
            "telephone_number": "817-336-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARILLO DENTURE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "DAMON",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "817-336-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "27147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amarillo Council on Alcoholism & Drug Abuse
• Amarillo Counseling Associates
• Amarillo Counseling Associates
• Amarillo Counseling Associates @ Wesley Community Center
• Amarillo Dental Associates
• Amarillo Dermatology, P.a.
• Amarillo Diagnostic Clinic RX Inc
• Amarillo Diagnostic Clinic RX Inc (Adc Pharmacy)
• Amarillo Diagnostic Clinic, P.a.
• Amarillo Emergency Center LLC (ER Now)

• Dentist in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.