Active NPI
Perry S Justice Jr DDS PA
Doing business as Justice Family Dentistry
- General Practice Dentistry
- Statesville, NC
National Provider Identifier
1972882140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6835
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Statesville, NC
- NPI 1851421515
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.