DANIELLE M. GOUGH, DMD, PLLC (NPI# 1043852148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043852148 |
| Entity Type | Organization |
| Organization Name | DANIELLE M. GOUGH, DMD, PLLC |
| Practice Address |
1124 Gallery Park Boulevard Wilmington NC 28412 |
| Mailing Address |
1215 W Gate Dr Ste 180 Leland NC 28451-0437 |
| Practice Telephone | 9102181222 |
| Practice Fax Number | 8442662407 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |
| Authorized Official Name | MS. SOFIA MARIE FANTI (OFFICE MANAGER) |
| Authorized Official Telephone | 9102181222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Complete Dental Barclay | Doing Business As Name - Organization |
| Street Address |
1124 GALLERY PARK BOULEVARD |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619904810 | Paula Babiss | Internal Medicine | 1124 Gallery Park Boulevard, #200, Wilmington, NC 28412 | 2006-06-26 |
| 1104210558 | Rebecca Maphis | Nurse Practitioner | 1124 Gallery Park Boulevard, #200, Wilmington, NC 28412 | 2015-03-24 |
| 1114066867 | Megan Louise Vigliano | Physician Assistant | 1124 Gallery Park Boulevard, #200, Wilmington, NC 28412 | 2007-02-06 |
| 1235296013 | Edith Lynne Saffo | Nurse Practitioner | 1124 Gallery Park Boulevard, #200, Wilmington, NC 28412 | 2007-01-02 |
| 1053400499 | Laura Steffen Tanner | Dermatology | 1124 Gallery Park Boulevard, #200, Wilmington, NC 28412 | 2006-10-12 |
| 1124129671 | Brian Richard Webster | Internal Medicine | 1124 Gallery Park Boulevard, #200, Wilmington, NC 28412 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891357166 | Alexandra Palamaru | Dentist | 2759, 6132 Carolina Beach Rd., 6, Wilmington, NC 28412 | 2019-07-08 |
| 1447640115 | Carrie Anne Emory | Physician Assistant | 1124 Gallery Park Blvd, #200, Wilmington, NC 28412 | 2015-02-02 |
| 1144639295 | Christina Marie Terry | Physical Therapist | 7842 Champlain Dr, Wilmington, NC 28412 | 2014-08-03 |
| 1972889715 | New Hanover House, LLC | Assisted Living Facility | 3915 Stedwick Court, Wilmington, NC 28412 | 2011-10-25 |
| 1538440672 | Celine Adair | Marriage & Family Therapist | 9809 River Rd, Wilmington, NC 28412 | 2011-09-02 |
| 1033412267 | American Anesthesiology of North Carolina, Pllc | Anesthesiology | 2520 Independence Blvd, Suite 200, Wilmington, NC 28412 | 2010-12-09 |
| 1932418357 | Dale Autry | Pharmacist | 3625 South College Road, Wilmington, NC 28412 | 2010-10-04 |
| 1528390762 | Sheila Flynn | Counselor | 710 St. Andrews Dr. #18, Wilmington, NC 28412 | 2010-02-12 |
| 1952563686 | Stephen Rolfe Wells | Anesthesiology | 2520 Independence Boulevard, Suite 200, Wilmington, NC 28412 | 2008-06-25 |
| 1396902722 | Henry D Browning Iv | Dentist | 604 Junction Creek, Wilmington, NC 28412 | 2008-05-22 |
| Find all providers in zip 28412 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013529437 | Nicholas Peter Griggs | Dentist | 7150 Market St Ste 130, Wilmington, NC 28411-9888 | 2020-08-18 |
| 1851930986 | L.brett Wells Dds IIi Pllc | Dentist | 124 Walnut St Ste 101, Wilmington, NC 28401-4361 | 2020-01-07 |
| 1891357166 | Alexandra Palamaru | Dentist | 2759, 6132 Carolina Beach Rd., 6, Wilmington, NC 28412 | 2019-07-08 |
| 1497312649 | Christian G Cook | Dentist | 7205 Wrightsville Ave Ste 105, Wilmington, NC 28403-7273 | 2019-05-23 |
| 1417424649 | Lindell Plaza Dental LLC | Dentist | 1601 Milltown Rd Ste 26b, Wilmington, DE 19808-4027 | 2018-10-25 |
| 1699128868 | Lauren Elizabeth Marechal | Dentist | 5000 Market St, Wilmington, NC 28405-3430 | 2016-07-22 |
| 1982051546 | Safia Naik-azizi Dmd & Associates Pa | Dentist | 215 Racine Dr Ste 102, Wilmington, NC 28403-8839 | 2016-05-24 |
| 1508213323 | Daniel Joseph Duffy Jr. | Dentist | 2520 Delaney Ave, Wilmington, NC 28403-6002 | 2016-05-22 |
| 1326468513 | Edward Blake Bayley | Dentist | 1610 Sunset Ln, Wilmington, DE 19810-4149 | 2014-04-26 |
| 1255751616 | Eric and Casey Burns Dds Pa | Dentist | 4914 Randall Pkwy, Wilmington, NC 28403-2879 | 2014-04-23 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28412 |
Please comment or provide details below to improve the information on DANIELLE M. GOUGH, DMD, PLLC.
| 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.