Carole Fuller Edmonds, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

4276 Issued in AL

Legal business name

CAROLE FULLER EDMONDS, DMD

Practice address

201 N Main St Ste J
Boaz, AL 35957-1643

Phone

(256) 593-0035

Fax

(256) 593-9101

NPI assigned

Mar 28, 2016

Last updated

Jul 17, 2023By 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

Mrs. Brittany Patterson

Title

Insurance Coordinator

Phone

(256) 593-0035

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• TeethRescue Other name

Locations

Practitioners 2

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.

• Carole Fuller-Edmonds, DMD

  • General Practice Dentistry
  • Boaz, AL
  • NPI 1144296302
  NPD
• Thomas Simeon Williams, DMD

  • Dentist
  • Boaz, AL
  • NPI 1962131110
  NPD (past)

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1154783280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "PISGAH",
            "state": "AL",
            "postal_code": "357650309",
            "telephone_number": "256-593-0035",
            "fax_number": "256-593-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N MAIN ST STE J",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359571643",
            "telephone_number": "256-593-0035",
            "fax_number": "256-593-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLE FULLER EDMONDS, DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-28",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "256-593-0035",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5809",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "4276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1194028431",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1144296302",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TeethRescue",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Casey Brooks, LAT, ATC
• Jessica Bryant, OTR/L
• Tiffany Brown Butler, CRNP
• Megan Lea Calvert
• Anna Campos, FNP-BC
• Jenna Carpenter, D.O.
• Katherine Casey, NP
• Central Alabama Emergency Physicians, LLC
• Carlos Chacon, CRNP
• Mark H Christensen, M.D.

• Dentist in Boaz, AL
• Providers in Boaz, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.