Dr. Robert Deshazer , D.M.D PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3495 Issued in AL

Legal business name

DR. ROBERT DESHAZER , D.M.D PC

Doing business as

Deshazer & Leverton Dentistry

Practice address

2501 Stemley Bridge Rd
Pell City, AL 35128-7525

Phone

(205) 884-1691

Fax

(205) 278-4433

NPI assigned

Jan 11, 2018

Last updated

Jun 16, 2018By 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

Dr. Robert Deshazer, D.M.DNPI 1497798060

Title

Owner

Phone

(205) 884-1691

Specialties & licenses 1

Addresses

Other names 1

• Deshazer & Leverton Dentistry Doing business as

Locations

Practitioners 2

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.

• Robert Larkin Deshazer, DMD

  • General Practice Dentistry
  • Pell City, AL
  • NPI 1497798060
  NPD (past) Authorized official
• Claire Deshazer Leverton, D.M.D.

  • General Practice Dentistry
  • Pell City, AL
  • NPI 1972985166
  NPD (past)

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1326556408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 STEMLEY BRIDGE RD",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351287525",
            "telephone_number": "205-884-1691",
            "fax_number": "205-278-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 STEMLEY BRIDGE RD",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351287525",
            "telephone_number": "205-884-1691",
            "fax_number": "205-278-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROBERT DESHAZER , D.M.D PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "DESHAZER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-884-1691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deshazer & Leverton Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth McCalman Dennis, DMD
• Robert Larkin Deshazer, DMD
• Dialysis Clinic Inc.
• Diversicare of Pell City, LLC (Diversicare of Pell City)
• Elisabeth May Douglass, DPT
• Dr. Sandra T. Lanter (Restoration Dental)
• Danelle Dumhart
• Michael D Dupre, MD
• Brent Durrett, PHARMD
• Geoffrey Harrison Dye, D.P.M

• General Practice Dentistry in Pell City, AL
• Providers in Pell City, 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 Jun 16, 2018; 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.