Active NPI
David W. Gann, D.M.D.
- General Practice Dentistry
- Marion, AL
National Provider Identifier
1003910399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4699
- Practice address
- 10081 Highway 5 S
Marion, AL 36756-3441 - Phone
- (334) 683-6997
- Fax
- (334) 683-9159
- NPI assigned
- Sep 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4699 | AL | Primary |
Addresses
Primary practice location
10081 Highway 5 S
Marion, AL 36756-3441
Mailing address
PO Box 1020
Marion, AL 36756-1020
Phone (334) 683-6997
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009940815 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4699 | AL | MD | General Practice Dentistry |
Networks
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1003910399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1020",
"city": "MARION",
"state": "AL",
"postal_code": "367561020",
"telephone_number": "334-683-6997",
"fax_number": "334-683-9159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10081 HIGHWAY 5 S",
"city": "MARION",
"state": "AL",
"postal_code": "367563441",
"telephone_number": "334-683-6997",
"fax_number": "334-683-9159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANN",
"first_name": "DAVID",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-08",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "4699",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009940815",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marion, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.