Montgomery Dental Arts LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MONTGOMERY DENTAL ARTS LLC

Practice address

10650 Chantilly Parkway
Montgomery, AL 36117

Phone

(334) 398-2907

Fax

(678) 840-3982

NPI assigned

Jul 22, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Dominique A Shamburger Jr., DDS

Title

MBR

Phone

(334) 356-0228

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Carl Melvin Shamburger Jr., D.M.D.

  • Dentist
  • Montogmery, AL
  • NPI 1427303593
  NPD (past)

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1376996512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10650 CHANTILLY PKWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177582",
            "telephone_number": "334-356-0228",
            "fax_number": "334-356-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10650 CHANTILLY PARKWAY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36117",
            "telephone_number": "334-398-2907",
            "fax_number": "678-840-3982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY DENTAL ARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-22",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "SHAMBURGER",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "334-356-0228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montgomery County Health Dept Pat 1St CM
• Montgomery County Health Dept Prev Health Ed
• Montgomery County Health Dept Pri Care
• Montgomery County Health Dept STD
• Montgomery County Health Dept VFC Immun
• Montgomery Dermatology, P.C.
• Montgomery Div-Bureau of Clinical Labs
• Montgomery Drug Co Inc.
• Montgomery Drug Company Inc
• Montgomery Drug Company Inc

• All providers in Montgomery, AL
• Dental Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.