NPIMap

Organization Active NPI

Denton Dental of Millbrook PC

  • General Practice Dentistry
  • Millbrook, AL
National Provider Identifier
1053740134
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4502 Issued in AL
Legal business name
DENTON DENTAL OF MILLBROOK PC
Practice address
720 Monument Dr
Millbrook, AL 36054-1849
Phone
(334) 285-3797
Fax
(334) 285-8900
NPI assigned
Nov 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Authorized official

Name
Jonathan Denton
Title
Owner/Dentist
Phone
(251) 580-0979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 4502 AL Primary

Addresses

Primary practice location

720 Monument Dr
Millbrook, AL 36054-1849

Mailing address

PO Box 1236
Fairhope, AL 36533-1236
Phone (251) 580-0979

Other names 1

  • Save-On Dental Care of Millbrook Doing business as

National Provider Directory

National Provider Directory

Locations

720 Monument Dr
Millbrook, AL 36054
Phone (334) 285-3797

Practitioners & affiliated clinicians

Practitioners 4

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": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1053740134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1236",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365331236",
            "telephone_number": "251-580-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MONUMENT DR",
            "city": "MILLBROOK",
            "state": "AL",
            "postal_code": "360541849",
            "telephone_number": "334-285-3797",
            "fax_number": "334-285-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTON DENTAL OF MILLBROOK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "DENTON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "251-580-0979"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Save-On Dental Care of Millbrook",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Millbrook, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.