SRD Muscle Shoals PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SRD MUSCLE SHOALS PLLC

Doing business as

Singing River Dentistry Muscle Shoals

Practice address

2402 Avalon Ave Ste a
Muscle Shoals, AL 35661-3286

Phone

(256) 383-1112

NPI assigned

Jun 20, 2022

Last updated

Jul 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christyn Shields

Title

Controller

Phone

(256) 320-5903

Specialties & licenses 1

Addresses

Other names 1

• Singing River Dentistry Muscle Shoals Doing business as

Locations

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1316678592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740979",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356747423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 AVALON AVE STE A",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356613286",
            "telephone_number": "256-383-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRD MUSCLE SHOALS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "CHRISTYN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "256-320-5903"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Singing River Dentistry Muscle Shoals",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Singing River Dentistry Muscle Shoals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Muscle Shoals, AL
• Providers in Muscle Shoals, 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 Jul 6, 2022; 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.