Organization Active NPI

Alabama Dental Professionals, P.C.

  • General Practice Dentistry
  • Huntsville, AL
National Provider Identifier
1245099530
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ALABAMA DENTAL PROFESSIONALS, P.C.
Practice address
2032 Winchester Rd NE Unit B
Huntsville, AL 35811-5101
Phone
(256) 427-2628
Fax
(256) 427-2679
NPI assigned
Mar 18, 2024
Organization subpart
Yes
Parent organization
ALABAMA DENTAL PROFESSIONALS, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Cemyira McDougal
Title
Credentialing Coordinator
Phone
(217) 764-8609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2032 Winchester Rd NE Unit B
Huntsville, AL 35811-5101

Mailing address

2032 Winchester Rd NE Unit B
Huntsville, AL 35811-5101
Phone (256) 427-2628

Other names 1

  • Friendship Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alabama Dental Professionals PC21 organizations share this tax ID, including this one
Part of
Alabama Dental Professionals PC

Other organizations with this tax ID 20

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

View all 20

Locations

2032 Winchester Rd NE
Unit B
Huntsville, AL 35811
Phone (256) 427-2628

Practitioners & affiliated clinicians

Practitioners 1

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": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1245099530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 WINCHESTER RD NE UNIT B",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358115101",
            "telephone_number": "256-427-2628",
            "fax_number": "256-427-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 WINCHESTER RD NE UNIT B",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358115101",
            "telephone_number": "256-427-2628",
            "fax_number": "256-427-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA DENTAL PROFESSIONALS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALABAMA DENTAL PROFESSIONALS, P.C.",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "MCDOUGAL",
        "authorized_official_first_name": "CEMYIRA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-764-8609"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friendship Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.