PJP Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

License

5895 Issued in AL

Legal business name

PJP DENTAL LLC

Practice address

311 8TH Ave SW
Childersburg, AL 35044-1625

Phone

(256) 378-5442

Fax

(256) 378-5427

NPI assigned

Apr 27, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Prabhavathi J Prattipati, D.M.D.

Title

Dentist

Phone

(256) 378-5442

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Troy Hanson Dennis, D.M.D.

  • General Practice Dentistry
  • Childersburg, AL
  • NPI 1730278383
  NPD (past)

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1306223433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 8TH AVE SW",
            "city": "CHILDERSBURG",
            "state": "AL",
            "postal_code": "350441625",
            "telephone_number": "256-378-5442",
            "fax_number": "256-378-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 8TH AVE SW",
            "city": "CHILDERSBURG",
            "state": "AL",
            "postal_code": "350441625",
            "telephone_number": "256-378-5442",
            "fax_number": "256-378-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PJP DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "PRATTIPATI",
        "authorized_official_first_name": "PRABHAVATHI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "256-378-5442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "5895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Childersburg, AL
• Providers in Childersburg, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.