NPIMap

Organization Active NPI

Alabama Family Dentistry LLC

Doing business as Sumiton Family Dentistry

  • General Practice Dentistry
  • Sumiton, AL
National Provider Identifier
1437582285
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5476 Issued in AL
Legal business name
ALABAMA FAMILY DENTISTRY LLC
Doing business as
Sumiton Family Dentistry
Practice address
385 Bryan Rd Ste 300
Sumiton, AL 35148-3440
Phone
(205) 648-6054
Fax
(205) 648-3625
NPI assigned
Aug 15, 2013
Last updated
Aug 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Authorized official

Name
Connie Marks
Title
Executive Director
Phone
(205) 648-6054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5476 AL Primary

Addresses

Primary practice location

385 Bryan Rd Ste 300
Sumiton, AL 35148-3440

Mailing address

205 Caldwell Dr
Warrior, AL 35180-1407
Phone (205) 647-3181

Other names 1

  • Sumiton Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Acton Family Dentistry4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

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": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1437582285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 CALDWELL DR",
            "city": "WARRIOR",
            "state": "AL",
            "postal_code": "351801407",
            "telephone_number": "205-647-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 BRYAN RD STE 300",
            "city": "SUMITON",
            "state": "AL",
            "postal_code": "351483440",
            "telephone_number": "205-648-6054",
            "fax_number": "205-648-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "205-648-6054"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sumiton Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sumiton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.