Crofton Dental Center PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7523 Issued in KY

Legal business name

CROFTON DENTAL CENTER PLLC

Practice address

115 E Mill St
Crofton, KY 42217-8021

Phone

(270) 424-5999

Fax

(270) 424-5522

NPI assigned

Oct 28, 2010

Last updated

Oct 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marty Edward Gamble, D.D.S.NPI 1639223233

Title

Dentist

Phone

(270) 424-5999

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marty E Gamble, DDS

  • General Practice Dentistry
  • Crofton, KY
  • NPI 1639223233
  NPD (past) Authorized official

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1982904637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E MILL ST",
            "city": "CROFTON",
            "state": "KY",
            "postal_code": "422178021",
            "telephone_number": "270-424-5999",
            "fax_number": "270-424-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E MILL ST",
            "city": "CROFTON",
            "state": "KY",
            "postal_code": "422178021",
            "telephone_number": "270-424-5999",
            "fax_number": "270-424-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROFTON DENTAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "GAMBLE",
        "authorized_official_first_name": "MARTY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "270-424-5999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Ann Adkins, LPCC
• Taylor Elizabeth Cline Allen, APRN
• Erika Danielle Champion, FNP
• Commonwealth Biomedical Research, LLC
• Crofton Clinic PSC
• Crofton Elementary School
• Crofton Pharmacy LLC (Crofton Pharmacy)
• Crofton Pharmacy, LLC (Crofton Pharmacy)
• Jerri Annette Fowler, SLP
• Marty E Gamble, DDS

• General Practice Dentistry in Crofton, KY
• Providers in Crofton, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.