Active NPI
Albemarle Dental Associates
- General Practice Dentistry
- Edenton, NC
National Provider Identifier
1073846473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6448
- Legal business name
- ALBEMARLE DENTAL ASSOCIATES
- Practice address
- 103 Mark Dr
Edenton, NC 27932-1704 - Phone
- (252) 482-5131
- Fax
- (252) 482-5587
- NPI assigned
- Sep 16, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Allen Hornthal, DDS
- Title
- Administrative
- Phone
- (252) 482-5131
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6448 | NC | Primary |
Addresses
Primary practice location
103 Mark Dr
Edenton, NC 27932-1704
Mailing address
103 Mark Dr
Edenton, NC 27932-1704
Phone (252) 482-5131
National Provider Directory
National Provider DirectoryLocations
103 Mark Dr
Edenton, NC 27932
Phone (252) 482-5105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253059200000",
"number": "1073846473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 MARK DR",
"city": "EDENTON",
"state": "NC",
"postal_code": "279321704",
"telephone_number": "252-482-5131",
"fax_number": "252-482-5587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 MARK DR",
"city": "EDENTON",
"state": "NC",
"postal_code": "279321704",
"telephone_number": "252-482-5131",
"fax_number": "252-482-5587"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALBEMARLE DENTAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-16",
"last_updated": "2009-09-16",
"status": "A",
"authorized_official_last_name": "HORNTHAL",
"authorized_official_first_name": "ALLEN",
"authorized_official_title_or_position": "ADMINISTRATIVE",
"authorized_official_telephone_number": "252-482-5131",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "6448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edenton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.