W. Jackson Garner D.M.D

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

5113 Issued in AL

Legal business name

W. JACKSON GARNER D.M.D

Practice address

2129 Forestdale Blvd
Forestdale, AL 35214-1523

Phone

(205) 798-6561

Fax

(205) 285-9663

NPI assigned

Sep 5, 2013

Last updated

Sep 5, 2013By 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. Walter Jackson Garner, D.M.D

Title

Dentist

Phone

(205) 798-6561

Specialties & licenses 1

Addresses

Locations

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.

• Cheri W. Cunningham, D.M.D.

  • Dentist
  • Birmingham, AL
  • NPI 1124241294
  NPD (past)

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1104251412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2129 FORESTDALE BLVD",
            "city": "FORESTDALE",
            "state": "AL",
            "postal_code": "352141523",
            "telephone_number": "205-798-6561",
            "fax_number": "205-285-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2129 FORESTDALE BLVD",
            "city": "FORESTDALE",
            "state": "AL",
            "postal_code": "352141523",
            "telephone_number": "205-798-6561",
            "fax_number": "205-285-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. JACKSON GARNER D.M.D",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "205-798-6561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "AL",
            "license": "5113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Huang, PHARMD
• Carey Wayne Ketchum, MD
• Emily Kluesner, R.PH.
• Chelsea Renae Pittman
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• Samuel Bagwell Wakefield
• Walgreen Co (Walgreens #05073)
• Windblown Wigs N Thangs

• Exclusive Provider Organization in Forestdale, AL
• Providers in Forestdale, AL by specialty
• Exclusive Provider Organization in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.