Organization Active NPI

Signature Smiles of Cullman, PC

  • General Practice Dentistry
  • Cullman, AL
National Provider Identifier
1093105272
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D.5828 C1 Issued in AL
Legal business name
SIGNATURE SMILES OF CULLMAN, PC
Practice address
1965 Al Highway 157
Suite a
Cullman, AL 35058-0672
Phone
(256) 338-8082
NPI assigned
Jan 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Authorized official

Name
Dr. Lindsey Marecle Marshall, D.M.D.
Title
General Dentist / Co-Owner
Phone
(256) 338-8082

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X D.5828 C1 AL Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X D.5839 C1 AL

Addresses

Primary practice location

1965 Al Highway 157
Suite a
Cullman, AL 35058-0672

Mailing address

1965 Al Highway 157
Suite a
Cullman, AL 35058-0672

National Provider Directory

National Provider Directory

Locations

1754 Warnke Cir
Cullman, AL 35055

NPI Registry JSON

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1093105272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 AL HIGHWAY 157",
            "address_2": "SUITE A",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 AL HIGHWAY 157",
            "address_2": "SUITE A",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580672",
            "telephone_number": "256-338-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE SMILES OF CULLMAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "MARECLE",
        "authorized_official_title_or_position": "GENERAL DENTIST / CO-OWNER",
        "authorized_official_telephone_number": "256-338-8082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "D.5828 C1",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "D.5839 C1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.