Dental Associates of Athens, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5540 Issued in AL

Legal business name

DENTAL ASSOCIATES OF ATHENS, LLC

Practice address

1005 W Market St
Athens, AL 35611-2454

Phone

(256) 232-1404

Fax

(256) 230-6738

NPI assigned

Feb 17, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Terri Wrenn

Title

Administrative Assistant

Phone

(256) 353-5600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1386917631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W MARKET ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112454",
            "telephone_number": "256-232-1404",
            "fax_number": "256-230-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W MARKET ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112454",
            "telephone_number": "256-232-1404",
            "fax_number": "256-230-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES OF ATHENS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-17",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "WRENN",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "256-353-5600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "515-43170",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Todd Dean, CRNP
• Randall L Dearment, D.O.
• Samuel E Deatherage, DMD
• William Christopher Deneke, LPC
• Jill C Denney, PHARM.D.
• Diagnostic Health MRI of Gadsden, LLC (Outpatient Diagnostic Center of Athens)
• Dianna G Osborn MD PC
• Bonnie Dickerson, M.S., CCC-SLP
• Wendy Moss Diffey, RPH, PHARMD
• Phyllis M Diluigi, OT

• General Practice Dentistry in Athens, AL
• Providers in Athens, 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 Feb 17, 2012; 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.