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1326363094 NPI number — BROOKS DUNSTON DDS PLLC

NPI Number: 1326363094
Health Care Provider/Practitioner: BROOKS DUNSTON DDS PLLC

Information about “1326363094” NPI (BROOKS DUNSTON DDS PLLC) exists in 1326363094 in HTML format HTML  |  1326363094 in plain Text format TXT  |  1326363094 in PDF (Portable Document Format) PDF  |  1326363094 in an XML format XML  formats.

NPI Number : 1326363094 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326363094",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BROOKS DUNSTON DDS PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "55 AMARILLO LANE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SANFORD",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27332",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "919-499-9950",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "55 AMARILLO LANE",
    "SecondLinePracticeLocationAddress": "BUFFALO LAKE BUSINESS PARK",
    "PracticeLocationAddressCityName": "SANFORD",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27332",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "919-499-9950",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/06/2010",
    "LastUpdateDate": "06/10/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BROOKS",
    "AuthorizedOfficialFirstName": "SIDNEY",
    "AuthorizedOfficialMiddleName": "ALAN",
    "AuthorizedOfficialTitle": "COOWNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": "SR.",
    "AuthorizedOfficialCredential": "DDS",
    "AuthorizedOfficialTelephoneNumber": "919-499-9950",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1223P0221X",
          "TaxonomyName": "Pediatric Dentistry",
          "LicenseNumber": "8090",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "7683",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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