Organization Active NPI

Montgomery Dental Arts LLC

  • Dental Clinic/Center
  • Montgomery, AL
National Provider Identifier
1376996512
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MONTGOMERY DENTAL ARTS LLC
Practice address
10845 Chantilly Dr
Montgomery, AL 36117-7591
Phone
(334) 398-2907
Fax
(678) 840-3982
NPI assigned
Jul 22, 2016
Last updated
Sep 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Authorized official

Name
Dr. Dominique A Shamburger Jr., DDSNPI 1124316112
Title
MBR
Phone
(334) 356-0228

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

10845 Chantilly Dr
Montgomery, AL 36117-7591

Mailing address

10650 Chantilly Pkwy
Montgomery, AL 36117-7582
Phone (334) 356-0228

National Provider Directory

National Provider Directory

Locations

10650 Chantilly Pkwy
Montgomery, AL 36117
Phone (334) 560-0228

10845 Chantilly Dr
Montgomery, AL 36117
Phone (334) 398-2907

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "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": "10845 CHANTILLY DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177591",
            "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": "2026-09-21",
        "certification_date": "2026-09-21",
        "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": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; 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.