Scottsboro Family and General Dentistry PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D6098 Issued in AL

Legal business name

SCOTTSBORO FAMILY AND GENERAL DENTISTRY PC

Practice address

420 S Market St
Scottsboro, AL 35768-1857

Phone

(256) 259-4411

Fax

(256) 574-5653

NPI assigned

May 3, 2016

Last updated

May 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Barrett L Bradford, D.M.D.NPI 1700291408

Title

President

Phone

(256) 259-4411

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Barrett Bradford, D.M.D

  • General Practice Dentistry
  • Scottsboro, AL
  • NPI 1700291408
  NPD (past) Authorized official
• Ronald Edward Jones, D.M.D

  • General Practice Dentistry
  • Scottsboro, AL
  • NPI 1780796250
  NPD (past)

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1083069579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S MARKET ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357681857",
            "telephone_number": "256-259-4411",
            "fax_number": "256-574-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S MARKET ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357681857",
            "telephone_number": "256-259-4411",
            "fax_number": "256-574-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSBORO FAMILY AND GENERAL DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "BARRETT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-259-4411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "D6098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scottsboro Chiropractic Clinic, P.C.
• Scottsboro City
• Scottsboro Diagnostic Center LLC
• Scottsboro Emergency Group LLC
• Scottsboro ENT, PC (Dekalb Ear, Nose & Throat)
• Scottsboro Family Pharmacy, LLC
• Scottsboro Family Physicians PC
• Scottsboro Internal Medicine, PC
• Scottsboro Medical Clinic LLC
• Scottsboro OB GYN Specialists LLC

• Dental Clinic/Center in Scottsboro, AL
• Providers in Scottsboro, 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 May 3, 2016; 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.