Adams Southern Dental Arts, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ADAMS SOUTHERN DENTAL ARTS, LLC

Practice address

2045 Brookwood Medical Ctr Dr Ste 6
Homewood, AL 35209-6809

Phone

(205) 326-7444

Fax

(205) 637-1933

NPI assigned

Jun 9, 2021

Last updated

Jun 9, 2021By 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. Preston Adams, DMDNPI 1003255720

Title

Dentist

Phone

(205) 326-7444

Specialties & licenses 1

Addresses

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.

• Preston Callaway Adams, D.M.D.

  • Dentist
  • Homewood, AL
  • NPI 1003255720
  NPD Authorized official

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1114594934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 BROOKWOOD MEDICAL CTR DR STE 6",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352096809",
            "telephone_number": "205-326-7444",
            "fax_number": "205-637-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 BROOKWOOD MEDICAL CTR DR STE 6",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352096809",
            "telephone_number": "205-326-7444",
            "fax_number": "205-637-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMS SOUTHERN DENTAL ARTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "PRESTON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "205-326-7444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Homewood, AL
• Providers in Homewood, 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 Jun 9, 2021; 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.