Dunn Dental Care, PC

Primary specialty

DentistTaxonomy code 122300000X

License

5606 Issued in AL

Legal business name

DUNN DENTAL CARE, PC

Doing business as

Crestline Village Dentistry

Practice address

244 Country Club Park
Mountain BRK, AL 35213-4200

Phone

(205) 870-5700

Fax

(205) 870-5699

NPI assigned

Dec 26, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Clark Dunn, D.M.D.

Title

Owner/Dentist

Phone

(205) 870-5700

Specialties & licenses 1

Addresses

Other names 1

• Crestline Village Dentistry Doing business as

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1194061903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 WOODFERN DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352091708",
            "telephone_number": "205-870-5700",
            "fax_number": "205-870-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 COUNTRY CLUB PARK",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352134200",
            "telephone_number": "205-870-5700",
            "fax_number": "205-870-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNN DENTAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "205-870-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "5606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crestline Village Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zelda Peach Driskell, LMSW
• Mark Darrell Driskill, LICSW
• Drmattdpt, LLC
• Cynthia Duck, MD
• Jessica Arnold Duddleston, MD
• Carmen Ritchie Echols
• Ladonna Edwards, MSN,CRNP
• Ellie Mental Health - North Central Alabama LLC (Ellie Mental Health)
• Adam Elliott, MA, ADC, ALC
• Ali Elliott, MS, RD, LD

• Dentist in Mountain BRK, AL
• Providers in Mountain BRK, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.