Organization Active NPI

Mountain Dental Care, PLLC

  • Dentist
  • Middlesboro, KY
National Provider Identifier
1326233412
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7599 Issued in KY
Legal business name
MOUNTAIN DENTAL CARE, PLLC
Practice address
2004 Cumberland Avenue
Apex Medical Building Suite333
Middlesboro, KY 40965
Phone
(276) 870-8081
NPI assigned
Sep 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Dr. William Lancaster, D.M.D
Title
Dentist
Phone
(276) 870-8081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 7599 KY Primary

Addresses

Primary practice location

2004 Cumberland Avenue
Apex Medical Building Suite333
Middlesboro, KY 40965

Mailing address

PO Box 339
Middlesboro, KY 40965-0339
Phone (276) 870-8081

National Provider Directory

National Provider Directory

Locations

2004 Cumberland Ave
Ste 333
Middlesboro, KY 40965
Phone (276) 870-8081

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": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1326233412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409650339",
            "telephone_number": "276-870-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 CUMBERLAND AVENUE",
            "address_2": "APEX MEDICAL BUILDING SUITE333",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "40965",
            "telephone_number": "276-870-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN DENTAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "LANCASTER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "276-870-8081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "7599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.