Organization Active NPI

Teri W Sandlin DDS PC

  • Dentist
  • Montgomery, AL
National Provider Identifier
1205174976
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TERI W SANDLIN DDS PC
Practice address
7065 Fain Park Dr
Montgomery, AL 36117-7862
Phone
(334) 279-6488
Fax
(334) 279-6487
NPI assigned
Jan 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Authorized official

Name
Dr. Teri W Sandlin, DDS
Title
Owner
Phone
(334) 279-6488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

7065 Fain Park Dr
Montgomery, AL 36117-7862

Mailing address

7065 Fain Park Dr
Montgomery, AL 36117-7862
Phone (334) 279-6488

Other names 1

  • Dentistry at Park Place Other name

National Provider Directory

National Provider Directory

Locations

7065 Fain Park Dr
Montgomery, AL 36117
Phone (256) 364-2144

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1205174976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7065 FAIN PARK DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177862",
            "telephone_number": "334-279-6488",
            "fax_number": "334-279-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7065 FAIN PARK DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177862",
            "telephone_number": "334-279-6488",
            "fax_number": "334-279-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERI W SANDLIN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "SANDLIN",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-279-6488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry at Park Place",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.