Phillip David Gould, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DGD.8934 Issued in SC

Practice address

127 Hunts Bridge Rd
Greenville, SC 29617-1623

Phone

(864) 246-6471

Fax

(864) 246-9917

NPI assigned

Jun 30, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Phillip D. Gould, DMD, LLC

  • Dental Clinic/Center
  • Greenville, SC
  • NPI 1720617137
  NPD Authorized official
• Jim Nasim DMD PA

  • General Practice Dentistry
  • Spartanburg, SC
  • NPI 1720246325
  NPD (past)

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1962923888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 HUNTS BRIDGE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296171623",
            "telephone_number": "864-246-6471",
            "fax_number": "864-246-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 HUNTS BRIDGE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296171623",
            "telephone_number": "864-246-6471",
            "fax_number": "864-246-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "PHILLIP",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-30",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "DGD.8934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Goss, LMT
• Matthew Ryan Gossage, M.D.
• Dawn Marie Gossett, C.P.S.S.
• Gary Morgan Goudelock, MD
• Robert I Goulart, CRNA
• Janey Capers Newland Gour
• Scott Gourley, PHARMD
• Ana Elizabeth Gowani, MD
• Zain Sherali Gowani
• Samantha Gowen

• General Practice Dentistry in Greenville, SC
• Providers in Greenville, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.