NPIMap

Organization Active NPI

Precious Smiles Family Dentistry LLC

  • Dentist
  • Madison, AL
National Provider Identifier
1003207796
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5908 Issued in AL
Legal business name
PRECIOUS SMILES FAMILY DENTISTRY LLC
Practice address
1041 Balch Rd
Suite 100
Madison, AL 35758-8343
Phone
(256) 434-5179
Fax
(256) 467-8068
NPI assigned
Feb 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Authorized official

Name
Dr. Precious Montey McGregor-Wiltz, DMD
Title
Dentist/Owner
Phone
(504) 444-5236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5908 AL Primary

Addresses

Primary practice location

1041 Balch Rd
Suite 100
Madison, AL 35758-8343

Mailing address

1041 Balch Rd
Suite 100
Madison, AL 35758-8343
Phone (256) 434-5179

Other names 1

  • Precious McGregor-Wiltz Doing business as

National Provider Directory

National Provider Directory

Locations

1041 Balch Rd
Ste 100
Madison, AL 35758
Phone (256) 434-5179

NPI Registry JSON

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1003207796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 BALCH RD",
            "address_2": "SUITE 100",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588343",
            "telephone_number": "256-434-5179",
            "fax_number": "256-467-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 BALCH RD",
            "address_2": "SUITE 100",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588343",
            "telephone_number": "256-434-5179",
            "fax_number": "256-467-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIOUS SMILES FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-17",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "MCGREGOR-WILTZ",
        "authorized_official_first_name": "PRECIOUS",
        "authorized_official_middle_name": "MONTEY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "504-444-5236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "5908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precious McGregor-Wiltz",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.