West Madison Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WEST MADISON DENTAL LLC

Practice address

10871 County Line Rd Ste a
Madison, AL 35758-3668

Phone

(256) 724-3530

NPI assigned

Mar 1, 2023

Last updated

Mar 1, 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

Andrew Henninger, DMDNPI 1457910564

Title

Sole Member

Phone

(256) 617-2067

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, and the practitioner matching its NPPES authorized official.

• Andrew Henninger, DMD

  • General Practice Dentistry
  • Huntsville, AL
  • NPI 1457910564
  NPD Authorized official
• Shannon Theresa Morey, DMD

  • General Practice Dentistry
  • Madison, AL
  • NPI 1831714328
  NPD
• Matthew Gibson, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Madison, AL
  • NPI 1508271495
  NPD (past)
• McKenna Rhea Gibson, D.M.D.

  • General Practice Dentistry
  • Madison, AL
  • NPI 1861808487
  NPD (past)

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1184323040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 STILLMEADOW DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357566100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10871 COUNTY LINE RD STE A",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583668",
            "telephone_number": "256-724-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MADISON DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "HENNINGER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "256-617-2067",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alleah N Welch
• Wellness Restoratives, LLC
• Randall J Wendt, MD
• Melissa McDonald Wenzler, RN, IBCLC
• West Counseling and Consulting LLC
• West Madison Urgent & Primary Care, LLC
• Kasey L West, LICSW
• Melissa Aberg West, M.D.
• Stephanie Leigh Westmoreland, RPH
• Mary Dawn Weston, LICSW

• Dental Clinic/Center in Madison, AL
• Providers in Madison, 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 Mar 1, 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.