DR. GREGORY SEAN MCDOUGAL (NPI# 1669589222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669589222 |
| Entity Type | Individual |
| Full Name | DR. GREGORY SEAN MCDOUGAL |
| Credential | D.D.S. |
| Practice Address |
Hq 618th Dental Company (as) Usa Dentac Attn: Credentials, Unit 15652 Bldg S-5403 Apo AP 96205-5652 |
| Practice Telephone | 01182279172600 |
| Practice Fax Number | 01182279177703 |
| Mailing Telephone | 01182279172600 |
| Mailing Fax Number | 01182279177703 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2016-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
3040 | AR | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
3040 | AR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922594191 | Gregory Wesley Mcdougal | Specialist/Technologist | 20 High School Ct, Los Gatos, CA 95030-6917 | 2018-07-10 |
| Street Address |
HQ 618TH DENTAL COMPANY (AS) USA DENTAC ATTN: CREDENTIALS, UNIT 15652 BLDG S-5403 |
| City | APO |
| State | AP |
| Zip Code | 96205-5652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518450394 | Charles D Walker | Nurse Practitioner | 0121 Md Hsp Combat Support, Apo, AP 96205 | 2018-06-07 |
| 1952815235 | Robert Martinusek | Physical Therapist | Brian Allgood Army Community Hospital Unit 15543, Bldg 7005, Apo, AP 96205 | 2017-11-26 |
| 1659897056 | Laura Tsu | Dentist | 618 Mc Co Dental Com Wbpdaa, Yong San, AP 96205 | 2017-08-17 |
| 1962959502 | Amy Lee Wooten | Nurse Anesthetist, Certified Registered | Brian Allgood Army Hospital, Unit 15244, Camp Humphreys, KOREA 96205 | 2016-09-01 |
| 1912451105 | Laurel Alison Kessler | Dentist | 618 Md Co Dental Company, Apo, AP 96205 | 2016-08-05 |
| 1396116059 | Stephanie Louise Wheeler | Counselor | Hq, Usameddac-korea, Unit 15281, Apo, AP 96205 | 2015-10-07 |
| 1720454994 | Jared Colin Stewart | Dentist | 618th Dental Company, Usa Dentac Korea, Unit 15652, Apo, AP 96205 | 2015-08-11 |
| 1356717524 | John Carmen Warren | Dentist | 618th Dental Company, Usa Dentac - Korea, Unit # 15652, Apo, AP 96205 | 2015-08-11 |
| 1912381823 | Chanise Garvin-dumay | Registered Nurse | 121 Csh/baach. Pad, Yongsan, Apo, AP 96205 | 2015-07-10 |
| 1245611854 | Sabrina Emerald Kunciw | Family Medicine | 121 Csh/baach, Building #17005, Apo, AP 96205 | 2015-06-10 |
| Find all providers in zip 96205 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801146840 | David Joseph Weyh | Dentist | 18 Mdg, Kadena Ab, Apo, AP 96367-0050 | 2012-09-18 |
| 1750531414 | John Green II | Dentist | Us Army Dentac Bavaria, Unit 28038, Apo, AE 09112 | 2008-09-30 |
| 1386701373 | Dentonio Ellsworth Worrell | Dentist | Landstuhl Dentac Hq, Cmr 402 Attn Credentials Office, Apo, AE 09180 | 2007-01-02 |
| 1750352357 | John Tilton Marley Iv | Dentist | 618th Dental Co As, Unit #15652, Apo, AP 96205-5652 | 2006-01-31 |
| 1285613695 | Michael Anthony Koch | Dentist | 52 Dental Squadron, Unit 3690, Apo, AE 09126 | 2006-01-13 |
| 1578548681 | Jae I Hwang | Dentist | 618th Dental Co (as), Unit 15652, Apo, AP 96205 | 2005-12-12 |
| 1386950780 | Giovanny Francisco Zalamar | Dentist | Us Army Dental Activity, Bavaria, Unit 28038, Apo, AE 09112 | 2010-08-23 |
| 1760635841 | Matthew David Schafer | Dentist | Usa Dentac, Cmr 402, Apo, AE 09180 | 2008-11-03 |
| 1932196193 | Cecilia Isabel Garin | Dentist | 435 Mdg, Unit 3215, Apo, AE 09094 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255318440 | Bernard Herbert Hofmann | Dentist | U.S. Naval Hospital Yokosuka, Psc 475 Box 2, Fpo, AP 96350 | 2005-12-28 |
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| 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.