Active NPI
Sam J Citrano Jr DMD PC
- General Practice Dentistry
- Huntsville, AL
National Provider Identifier
1295790079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4772
- Legal business name
- SAM J CITRANO JR DMD PC
- Practice address
- 411 Holmes Ave NE
Huntsville, AL 35801-4142 - Phone
- (256) 534-7692
- Fax
- (256) 534-7692
- NPI assigned
- Apr 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sam J Citrano Jr., DMD
- Title
- Dentist/Owner
- Phone
- (256) 534-7692
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4772 | AL | Primary |
Addresses
Primary practice location
411 Holmes Ave NE
Huntsville, AL 35801-4142
Mailing address
411 Holmes Ave NE
Huntsville, AL 35801-4142
Phone (256) 534-7692
National Provider Directory
National Provider DirectoryLocations
411 Holmes Ave NE
Huntsville, AL 35801
Phone (256) 534-7692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1295790079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 HOLMES AVE NE",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014142",
"telephone_number": "256-534-7692",
"fax_number": "256-534-7692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 HOLMES AVE NE",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014142",
"telephone_number": "256-534-7692",
"fax_number": "256-534-7692"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAM J CITRANO JR DMD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CITRANO",
"authorized_official_first_name": "SAM",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "256-534-7692",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "4772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.