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1376948182 NPI number — LATONYA F. R. GILLESPIE D.D.S.

NPI Number: 1376948182
Health Care Provider/Practitioner: LATONYA F. R. GILLESPIE D.D.S.

Information about “1376948182” NPI (LATONYA F. R. GILLESPIE D.D.S.) exists in 1376948182 in HTML format HTML  |  1376948182 in plain Text format TXT  |  1376948182 in PDF (Portable Document Format) PDF  |  1376948182 in an XML format XML  formats.

NPI Number : 1376948182 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376948182",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GILLESPIE",
    "FirstName": "LATONYA",
    "MiddleName": "F. R.",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.D.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GILLESPIE",
    "OtherFirstName": "LATONYA",
    "OtherMiddleName": "F. R.",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "210 SHORELINE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FAYETTEVILLE",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30215-4665",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "404-729-5159",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1910 HIGHWAY 20 SE STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CONYERS",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30013-2074",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "404-729-5159",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/23/2014",
    "LastUpdateDate": "05/30/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "DN014891",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "DN014891",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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