Alex M Culberson, DMD, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN015282 Issued in GA

Practice address

600 Oglethorpe Ave Ste 3
Athens, GA 30606-2263

Phone

(706) 319-8057

NPI assigned

Jan 24, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Classic City Orthodontics, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Watkinsville, GA
  • NPI 1316584758
  NPD

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1073050423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 JAMESTOWN BLVD BLDG 100",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774131",
            "telephone_number": "706-549-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 OGLETHORPE AVE STE 3",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062263",
            "telephone_number": "706-319-8057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 Hull Aly",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432151554",
            "country_code": "US",
            "telephone_number": "706-319-8057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULBERSON",
        "first_name": "ALEX",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-24",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN015282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorinda A Cruz, MD
• Jeremy Evan Cryder, OTR/L, CHT
• Megan Lindsay Cryder, FNP-C
• Brent Michael Crymes, MD
• John V Cuff, MD
• Amy Culbertson
• Lawrence Dwayne Cumbus, SLP
• Leigh A Cummings-Crenshaw, DMD
• Christopher M Cuneo
• Dollette Cunneen

• Orthodontics and Dentofacial Orthopedics Dentistry in Athens, GA
• Providers in Athens, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.