Russellville Dental Care, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

AL3951 Issued in AL

Legal business name

RUSSELLVILLE DENTAL CARE, P.C.

Practice address

510 Engle Dr SE
Russellville, AL 35653-2749

Phone

(256) 332-6073

Fax

(256) 332-6655

NPI assigned

Feb 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mark Edwin Love, D.M.D.

Title

President

Phone

(256) 332-6073

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1083883276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 ENGLE DR SE",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356532749",
            "telephone_number": "256-332-6073",
            "fax_number": "256-332-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 ENGLE DR SE",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356532749",
            "telephone_number": "256-332-6073",
            "fax_number": "256-332-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELLVILLE DENTAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-332-6073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "AL3951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Respi-Care Inc.
• Rousseau Dental Care
• Rural Health Clinics LLC (Bowling Family Medical Clinic)
• Rural Health Clinics LLC (Bowling Family Medical Clinic)
• Russellville City
• Russellville Diagnostics Center, LLC
• Russellville Family Dentistry LLC
• Russellville Health Care, LLC
• Russellville Hospital Inc (Russellville Hospital Medical Clinic)
• Russellville Hospital Inc (Russellville Hospital Family Care First Clinic)

• General Practice Dentistry in Russellville, AL
• Providers in Russellville, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.