NPIMap

Organization Active NPI

University of Alabama at Birmingham

Doing business as UAB Dentistry Dothan

  • General Practice Dentistry
  • Dothan, AL
National Provider Identifier
1053182055
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Doing business as
UAB Dentistry Dothan
Practice address
2826 Ross Clark Cir Ste 305
Dothan, AL 36301-2017
Phone
(334) 305-3290
Fax
(334) 305-3310
NPI assigned
Jan 10, 2024
Last updated
Jan 10, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF ALABAMA AT BIRMINGHAMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Authorized official

Name
Jacquiselyn Story
Title
Director Business Office
Phone
(205) 934-5088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2826 Ross Clark Cir Ste 305
Dothan, AL 36301-2017

Mailing address

2826 Ross Clark Cir Ste 305
Dothan, AL 36301-2017
Phone (334) 305-3290

Other names 1

  • UAB Dentistry Dothan Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Robert T Brown MD48 organizations share this tax ID, including this one
Part of
Robert T Brown MD

Other organizations with this tax ID 47

Organizations that report the same tax identification number in the National Provider Directory.

View all 47

Locations

2826 Ross Clark Cir
Ste 305
Dothan, AL 36301
Phone (334) 305-3290

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1053182055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2826 ROSS CLARK CIR STE 305",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363012017",
            "telephone_number": "334-305-3290",
            "fax_number": "334-305-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 ROSS CLARK CIR STE 305",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363012017",
            "telephone_number": "334-305-3290",
            "fax_number": "334-305-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ALABAMA AT BIRMINGHAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF ALABAMA AT BIRMINGHAM",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "STORY",
        "authorized_official_first_name": "JACQUISELYN",
        "authorized_official_title_or_position": "DIRECTOR BUSINESS OFFICE",
        "authorized_official_telephone_number": "205-934-5088"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UAB Dentistry Dothan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 10, 2024; 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.