NPIMap

Organization Active NPI

Wiregrass Dental Center LLC

Doing business as Wiregrass Dental

  • Dental Clinic/Center
  • Enterprise, AL
National Provider Identifier
1265956825
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
21381 Issued in AL
Legal business name
WIREGRASS DENTAL CENTER LLC
Doing business as
Wiregrass Dental
Practice address
2 E Pointe CT
Enterprise, AL 36330-1392
Phone
(334) 347-3061
NPI assigned
Jul 26, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Jessica Nix Unterkofler, DMDNPI 1679922512
Title
Owner
Phone
(334) 347-3061

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 21381 AL Primary

Addresses

Primary practice location

2 E Pointe CT
Enterprise, AL 36330-1392

Mailing address

2 East Pointe Circle
Enterprise, AL 36330
Phone (334) 347-3061

Other names 1

  • Wiregrass Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2 E Pointe Ct
Enterprise, AL 36330
Phone (334) 347-3061

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1265956825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EAST POINTE CIRCLE",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "36330",
            "telephone_number": "334-347-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E POINTE CT",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363301392",
            "telephone_number": "334-347-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIREGRASS DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "UNTERKOFLER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "NIX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-347-3061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "21381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wiregrass Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enterprise, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.