Organization Active NPI

Dothan Endodontic Associates, P.C.

  • Dental Clinic/Center
  • Dothan, AL
National Provider Identifier
1013696202
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DOTHAN ENDODONTIC ASSOCIATES, P.C.
Practice address
220 Healthwest Dr Ste 1
Dothan, AL 36303-2047
Phone
(334) 793-7687
NPI assigned
Jul 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Authorized official

Name
Mallory Price
Title
Practice Support Coordinator
Phone
(251) 422-4361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

220 Healthwest Dr Ste 1
Dothan, AL 36303-2047

Mailing address

220 Healthwest Dr Ste 1
Dothan, AL 36303-2047

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": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1013696202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 HEALTHWEST DR STE 1",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HEALTHWEST DR STE 1",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032047",
            "telephone_number": "334-793-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOTHAN ENDODONTIC ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_title_or_position": "PRACTICE SUPPORT COORDINATOR",
        "authorized_official_telephone_number": "251-422-4361"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.