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1356554224 NPI number — GEORGE SPENCER PUGH DDS

NPI Number: 1356554224
Health Care Provider/Practitioner: GEORGE SPENCER PUGH DDS

Information about “1356554224” NPI (GEORGE SPENCER PUGH DDS) exists in 1356554224 in HTML format HTML  |  1356554224 in plain Text format TXT  |  1356554224 in PDF (Portable Document Format) PDF  |  1356554224 in an XML format XML  formats.

NPI Number : 1356554224 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356554224",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PUGH",
    "FirstName": "GEORGE",
    "MiddleName": "SPENCER",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7784 BALLSTON DRIVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SPRINGFIELD",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22153",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "703-455-3960",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8492 RICHMOND HWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ALEXANDRIA",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22309",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "703-780-3300",
    "PracticeLocationAddressFaxNumber": "703-780-3300",
    "EnumerationDate": "05/08/2007",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": "0401003880",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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