Paul N. Gregory Jr., D.D.S., M.H.A.

Primary specialty

DentistTaxonomy code 122300000X

License

DS03129 Issued in TN

Practice address

Univ of TN College of Dentistry
875 Union Ave.
Memphis, TN 38163-0001

Phone

(901) 448-6494

NPI assigned

Apr 25, 2016

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

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1972958288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIV OF TN COLLEGE OF DENTISTRY",
            "address_2": "875 UNION AVE.",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381630001",
            "telephone_number": "901-448-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIV OF TN COLLEGE OF DENTISTRY",
            "address_2": "875 UNION AVE.",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381630001",
            "telephone_number": "901-448-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "PAUL",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S., M.H.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS03129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory T. Wilkinson DDS PC (Wilkinson Orthodontics and Children's Dentistry)
• Keon Monroe Gregory, MSN, APRN, FNP-BC
• Lela Gregory, LPC
• Lideaderick Lamar Gregory, PMHNP
• Patricia Jane Gregory
• Stefanie Carol Gregory, P.T.
• Madeleine Amanda Gremillion, D.O.
• Flotyl K. Gresham, MSN, FNP-C
• William Paul Gresham, PHARM D
• Bonnye Griffin-Taylor, CMSW

• Dentist in Memphis, TN
• Providers in Memphis, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.