NPIMap

Organization Active NPI

Lincoln Family Dentistry

  • General Practice Dentistry
  • Lincoln, AL
National Provider Identifier
1306089859
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4569 Issued in AL
Legal business name
LINCOLN FAMILY DENTISTRY
Practice address
141 Magnolia St S
Lincoln, AL 35096-6196
Phone
(205) 763-2400
Fax
(205) 763-2404
NPI assigned
Apr 14, 2009
Last updated
Apr 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Authorized official

Name
Dr. Elaine Daniel Gissendaner, D.M.DNPI 1962591099
Title
Owner/Chief Executive
Phone
(256) 362-6861

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4569 AL Primary

Addresses

Primary practice location

141 Magnolia St S
Lincoln, AL 35096-6196

Mailing address

141 Magnolia St S
Lincoln, AL 35096-6196
Phone (205) 763-2400

Other names 1

  • Lincoln Dental Operations, LLC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1306089859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 MAGNOLIA ST S",
            "city": "LINCOLN",
            "state": "AL",
            "postal_code": "350966196",
            "telephone_number": "205-763-2400",
            "fax_number": "205-763-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 MAGNOLIA ST S",
            "city": "LINCOLN",
            "state": "AL",
            "postal_code": "350966196",
            "telephone_number": "205-763-2400",
            "fax_number": "205-763-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-14",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "GISSENDANER",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/CHIEF EXECUTIVE",
        "authorized_official_telephone_number": "256-362-6861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln Dental Operations, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lincoln, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.