Central Baldwin Dental Center, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4306 Issued in AL

Legal business name

CENTRAL BALDWIN DENTAL CENTER, P.C.

Practice address

18100 Highway 104
Robertsdale, AL 36567-8734

Phone

(251) 947-5940

Fax

(251) 947-5942

NPI assigned

Mar 31, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Keeth M. Lane Jr., D.D.S.

Title

Vice President

Phone

(251) 947-5940

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1295907285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18100 HWY 104",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "365678734",
            "telephone_number": "251-947-5940",
            "fax_number": "251-947-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18100 HIGHWAY 104",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "365678734",
            "telephone_number": "251-947-5940",
            "fax_number": "251-947-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL BALDWIN DENTAL CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "KEETH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "251-947-5940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Robertsdale, AL
• Providers in Robertsdale, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.