Organization Active NPI

Florence Family Dental

  • Dental Clinic/Center
  • Florence, AL
National Provider Identifier
1306406350
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
FLORENCE FAMILY DENTAL
Practice address
2138 Helton Dr
Florence, AL 35630-1449
Phone
(256) 766-8800
Fax
(256) 760-1063
NPI assigned
Jun 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Authorized official

Name
Dr. Ian K Fawcett, DDS
Title
Owner
Phone
(256) 766-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2138 Helton Dr
Florence, AL 35630-1449

Mailing address

2138 Helton Dr
Florence, AL 35630-1449
Phone (256) 766-8800

National Provider Directory

National Provider Directory

Locations

2138 Helton Dr
Florence, AL 35630
Phone (256) 766-5112

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1306406350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 HELTON DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301449",
            "telephone_number": "256-766-8800",
            "fax_number": "256-760-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 HELTON DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301449",
            "telephone_number": "256-766-8800",
            "fax_number": "256-760-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-766-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.