NPIMap

Organization Active NPI

Comfort Dental of Dothan LLC

  • General Practice Dentistry
  • Dothan, AL
National Provider Identifier
1194088385
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3619 Issued in AL
Legal business name
COMFORT DENTAL OF DOTHAN LLC
Practice address
4440 W Main St Ste 2
Dothan, AL 36305-1186
Phone
(334) 792-3838
Fax
(334) 792-6910
NPI assigned
Jun 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Authorized official

Name
Dr. Robert Pierce, DMD
Title
Registered Agent
Phone
(334) 792-3838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 3619 AL Primary

Addresses

Primary practice location

4440 W Main St Ste 2
Dothan, AL 36305-1186

Mailing address

4440 W Main St Ste 2
Dothan, AL 36305-1186
Phone (334) 792-3838

National Provider Directory

National Provider Directory
Tax ID family
Alabama Comfort Dental of Dothan2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1194088385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 W MAIN ST STE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051186",
            "telephone_number": "334-792-3838",
            "fax_number": "334-792-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 W MAIN ST STE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051186",
            "telephone_number": "334-792-3838",
            "fax_number": "334-792-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT DENTAL OF DOTHAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "334-792-3838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.