Organization Active NPI

Perry S Justice Jr DDS PA

Doing business as Justice Family Dentistry

  • General Practice Dentistry
  • Statesville, NC
National Provider Identifier
1972882140
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6835 Issued in NC
Legal business name
PERRY S JUSTICE JR DDS PA
Doing business as
Justice Family Dentistry
Practice address
2117 Simonton Rd
Suite 403
Statesville, NC 28625-8206
Phone
(704) 873-8899
Fax
(704) 873-8887
NPI assigned
Aug 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

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

Authorized official

Name
Dr. Perry S Justice Jr., D.D.S.NPI 1851421515
Title
Dentist
Phone
(704) 873-8899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6835 NC Primary

Addresses

Primary practice location

2117 Simonton Rd
Suite 403
Statesville, NC 28625-8206

Mailing address

2575 Mahogany LN
Hickory, NC 28602-9312
Phone (704) 873-8899

Other names 1

  • JUSTICE FAMILY DENTISTRY Doing business as

National Provider Directory

National Provider Directory

Locations

2117 Simonton Rd
Ste 403
Statesville, NC 28625
Phone (704) 873-8899

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312502400000",
    "number": "1972882140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 MAHOGANY LN",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286029312",
            "telephone_number": "704-873-8899",
            "fax_number": "704-294-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 SIMONTON RD",
            "address_2": "SUITE 403",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286258206",
            "telephone_number": "704-873-8899",
            "fax_number": "704-873-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY S JUSTICE JR DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A",
        "authorized_official_last_name": "JUSTICE",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "704-873-8899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JUSTICE FAMILY DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; 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.