Huntsville West Dental, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HUNTSVILLE WEST DENTAL, PC

Practice address

4710 University Dr NW Ste L
Huntsville, AL 35816-3408

Phone

(843) 557-5396

NPI assigned

Apr 27, 2018

Organization subpart

No

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

Authorized official

Name

Christopher Charles

Title

Operating Manager

Phone

(843) 557-5396

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1063900819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 DELBOURNE LN",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296517196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 UNIVERSITY DR NW STE L",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358163408",
            "telephone_number": "843-557-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTSVILLE WEST DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OPERATING MANAGER",
        "authorized_official_telephone_number": "843-557-5396"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Dental Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.