GULF COAST ENDODONTIC ASSOCIATES, LLC


Address: 423 Security Sq, Gulfport, MS 39507-1922
Phone: 2282657061

GULF COAST ENDODONTIC ASSOCIATES, LLC (NPI# 1760959647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760959647
Entity Type Organization
Organization Name GULF COAST ENDODONTIC ASSOCIATES, LLC
Practice Address 423 Security Sq
Gulfport
MS 39507-1922
Practice Telephone 2282657061
Practice Fax Number 2282541342
Mailing Telephone 2282657061
Mailing Fax Number 2282541342
Enumeration Date 2018-10-29
Last Update Date 2018-10-29
Authorized Official Name DR. SCOTT BONSON (OWNER)
Authorized Official Telephone 2282657061
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223E0200X Dentist
Specialization: Endodontics
Dental Providers

Office Location

Street Address 423 SECURITY SQ
City GULFPORT
State MS
Zip Code 39507-1922

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346335064 Ronald S. Bourgeois Dentist 423 Security Sq, Gulfport, MS 39507-1922 2006-10-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609389105 Karen R Burns Speech-Language Pathologist 3506 Washington Avenue, Ste E, Gulfport, MS 39507 2017-11-07
1538605027 Andrea Broussard Personal Emergency Response Attendant 406 Pass Rd, Gulfport, MS 39507 2017-01-09
1366872491 William Alexis Marcia Pharmacist 1444 East Pass Road, Gulfport, MS 39507 2013-11-27
1740599380 Advanced Hearing Systems, Inc. Hearing Instrument Specialist 401 Security Square, Gulfport, MS 39507 2010-09-30
1497068118 Stacey Ritter Carter Dentist 1635 East Pass Road, Gulfport, MS 39507 2010-07-22
1477789964 Letonoff Orthopaedics & Sports Orthopaedic Surgery 452 Court House Road, Suite G, Gulfport, MS 39507 2009-06-10
1730385139 Bernard Frederick Podlin Dentist 400 Pass Road, Gulfport, MS 39507 2007-06-22
1043422553 Mark D Stringer Dentist 520-a Courthouse Road, Gulfport, MS 39507 2007-05-04
1154543528 Pass Road Elementary Registered Nurse 37 Pass Road, Gulfport, MS 39507 2007-05-03
1417073768 John Hough Hopkins Dentist 3303 A Ave, Gulfport, MS 39507 2007-03-21
Find all providers in zip 39507

Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346335064 Ronald S. Bourgeois Dentist 423 Security Sq, Gulfport, MS 39507-1922 2006-10-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619145539 Kristy Goff Jones Dentist 301 Northlake Ave Ste 111, Ridgeland, MS 39157-1720 2008-02-13
1235349143 Richard Ted Rice Dentist 910 Bechtel Blvd, Ocean Springs, MS 39564-3057 2007-05-23
1699981183 Mark Wayne Moore Dentist 2301 12th St, Meridian, MS 39301-3934 2007-05-14
1205057585 Harry Thomas Cosby Dentist 144 South Thomas Street, Suite 203, Tupelo, MS 38801 2007-05-02
1619005972 Endodontic Associates, Pllc Dentist 301 Northlake Ave, Suite 111, Ridgeland, MS 39157-1718 2007-03-01
1891822474 James Derek White Dentist 1 Woodgreen Pl, Suite 100, Madison, MS 39110-8161 2007-02-28
1962566646 J Thad Strange Dentist 517 Keywood Cir Ste 1a, Flowood, MS 39232-3054 2006-12-20
1811098999 Thomas Ferris Gerrets Jr. Dentist 599 Steed Rd # A, Ridgeland, MS 39157-1707 2006-09-25
1134238322 Lance D Dillon Dentist 927 Highway 51, Madison, MS 39110 2006-08-30
1457465304 Floyd Norman Ford Dentist 2900 Bluecutt Rd, Suite 4, Columbus, MS 39705-1470 2006-08-18
Find all providers with the same taxonomy

Competitor

Search similar providers

City GULFPORT
Zip Code 39507

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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