Gulf Shores Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GULF SHORES DENTAL PLLC

Practice address

313 E 22ND Ave
Gulf Shores, AL 36542-3193

Phone

(251) 948-9313

NPI assigned

Jun 16, 2022

Organization subpart

No

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

Authorized official

Name

Michael Ahlborn, DDSNPI 1477044410

Title

Doctor/Owner

Phone

(251) 948-9313

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Ahlborn, DDS

  • Dentist
  • Sulphur, OK
  • NPI 1477044410
  NPD Authorized official
• Russel Fabian, DMD

  • Dentist
  • Gulf Shores, AL
  • NPI 1386326445
  NPD
• Harlan Rhyal Knight, DMD

  • Dentist
  • Gulf Shores, AL
  • NPI 1790895811
  NPD (past)
• Charles David Stoddard

  • Dentist
  • Gulf Shores, AL
  • NPI 1598850828
  NPD (past)

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1134859648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 E 22ND AVE",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365423193",
            "telephone_number": "251-948-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 E 22ND AVE",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365423193",
            "telephone_number": "251-948-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF SHORES DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "AHLBORN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "251-948-9313",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GS Pharmacy LLC
• Gulf Coast Cancer Center
• Gulf Coast Dentistry
• Gulf Coast Family Chiropractic, PC
• Gulf Coast Radiology Associates Inc
• Gulf Shores Emergency Physicians, LLC
• Gulf Shores Family Medicine
• Gulf Shores Medical Center
• Gulf Shores Pediatrics PC
• Gulf Shores Pharmacy, Inc.

• Dental Clinic/Center in Gulf Shores, AL
• Providers in Gulf Shores, AL by specialty
• Dental Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.