Organization Active NPI

Dutton Dental, LLC

Doing business as Dutton Dental

  • Dental Clinic/Center
  • Madison, AL
National Provider Identifier
1093521379
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DUTTON DENTAL, LLC
Doing business as
Dutton Dental
Practice address
106 Bowdock Dr
Madison, AL 35756-3995
Phone
(256) 325-1290
NPI assigned
Dec 10, 2024
Last updated
Mar 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Dr. Ethan Clay Dutton, DMDNPI 1881296259
Title
Owner
Phone
(803) 246-5344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

106 Bowdock Dr
Madison, AL 35756-3995

Mailing address

115 Rainbow Dr
Madison, AL 35758-8224
Phone (803) 246-5344

Other names 1

  • Dutton Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1093521379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 RAINBOW DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588224",
            "telephone_number": "803-246-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 BOWDOCK DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357563995",
            "telephone_number": "256-325-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUTTON DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "DUTTON",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_middle_name": "CLAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-246-5344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dutton Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dutton Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.