Organization Active NPI

Cottage Hill Dental Health Center PC

  • General Practice Dentistry
  • Mobile, AL
National Provider Identifier
1003063058
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
LNO 4455 Issued in AL
Legal business name
COTTAGE HILL DENTAL HEALTH CENTER PC
Practice address
1450 University Blvd S
Mobile, AL 36609-2947
Phone
(251) 342-8484
Fax
(251) 342-1561
NPI assigned
Aug 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donna Norstedt
Title
Office Manager
Phone
(251) 342-8484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X LNO 4455 AL Primary

Addresses

Primary practice location

1450 University Blvd S
Mobile, AL 36609-2947

Mailing address

1450 University Blvd S
Mobile, AL 36609-2947
Phone (251) 342-8484

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1003063058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 UNIVERSITY BLVD S",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366092947",
            "telephone_number": "251-342-8484",
            "fax_number": "251-342-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 UNIVERSITY BLVD S",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366092947",
            "telephone_number": "251-342-8484",
            "fax_number": "251-342-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTAGE HILL DENTAL HEALTH CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "NORSTEDT",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "251-342-8484"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "LNO 4455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.