Paul Gaston Petznick DMD Fagd LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

4316 Issued in AL

Legal business name

PAUL GASTON PETZNICK DMD FAGD LLC

Doing business as

Petznick Dental

Practice address

2045 Brookwood Medical Ctr Dr
Suite 6
Homewood, AL 35209-6874

Phone

(205) 326-7444

Fax

(205) 637-1933

NPI assigned

Feb 8, 2017

Last updated

Feb 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul Gaston Petznick, DMD

Title

Dentist

Phone

(205) 326-7444

Specialties & licenses 1

Addresses

Other names 1

• Petznick Dental Doing business as

Locations

Practitioners 1

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.

• Preston Callaway Adams, D.M.D.

  • Dentist
  • Homewood, AL
  • NPI 1003255720
  NPD (past)

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1265970487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530652",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352530652",
            "telephone_number": "205-326-7444",
            "fax_number": "205-637-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 BROOKWOOD MEDICAL CTR DR",
            "address_2": "SUITE 6",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352096874",
            "telephone_number": "205-326-7444",
            "fax_number": "205-637-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL GASTON PETZNICK DMD FAGD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "PETZNICK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "GASTON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "205-326-7444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "4316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Petznick Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John David Palmer, D.C.
• Dean Avery Parker, RPH
• Cynthia T Parris, MS, CCC- SLP
• Andrew Michael Parrish, PHARMD
• Dhruva Patel, AGACNP--BC
• Greg A Pendley, ATC, LAT
• Performance Bracing LLC
• David Farrington Peters, D.M.D.
• Ronald E Philley, PA-C
• Phillips Counseling Practice, LLC

• Dental Clinic/Center in Homewood, AL
• Providers in Homewood, AL by specialty
• Dental Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.