Tallassee Family Dentistry PCC

Primary specialty

DentistTaxonomy code 122300000X

License

3953 Issued in AL

Legal business name

TALLASSEE FAMILY DENTISTRY PCC

Practice address

1608B Gilmer Avenue
Tallassee, AL 36078

Phone

(334) 283-8115

Fax

(334) 283-2610

NPI assigned

Sep 28, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Charles D McCartha, DMDNPI 1881752996

Title

Owner

Phone

(334) 283-8115

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles D McCartha, DMD

  • Dentist
  • Tallassee, AL
  • NPI 1881752996
  Authorized official Same address or phone

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013009315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608B GILMER AVENUE",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "36078",
            "telephone_number": "334-283-8115",
            "fax_number": "334-283-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608B GILMER AVENUE",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "36078",
            "telephone_number": "334-283-8115",
            "fax_number": "334-283-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLASSEE FAMILY DENTISTRY PCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCARTHA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-283-8115",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5300",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "3953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sallie Wynne Segrest, AU.D., CCC-A
• Southern Orthopaedic Surgeons, LLC
• Renee F Stone, RPT
• Leslie Baggett Swicord
• Tallassee City
• Tallassee Health and Rehabilitation, LLC
• Tallassee Rehab PC
• Tallassee Urgent Care LLC
• The Gray Area Therapy
• Thomas D Bianchi M.D.P.a.

• Dentist in Tallassee, AL
• Providers in Tallassee, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.