Washburn Family Dental Care, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

5247 Issued in AL

Legal business name

WASHBURN FAMILY DENTAL CARE, INC

Doing business as

Moores Mill Dental Care

Practice address

2164 Moores Mill Rd
Auburn, AL 36830-8447

Phone

(334) 750-5720

Fax

(334) 209-0515

NPI assigned

Apr 26, 2017

Last updated

Apr 26, 2017By 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. Ernest Jason Washburn, DMD

Title

Doctor/Owner

Phone

(334) 750-5720

Specialties & licenses 2

Addresses

Other names 1

• Moores Mill Dental Care Doing business as

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1487189528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2164 MOORES MILL RD",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368308447",
            "telephone_number": "334-750-5720",
            "fax_number": "334-209-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2164 MOORES MILL RD",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368308447",
            "telephone_number": "334-750-5720",
            "fax_number": "334-209-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHBURN FAMILY DENTAL CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-26",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "WASHBURN",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "334-750-5720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "5247",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "5120",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moores Mill Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Walton Callen Walls, CRNP
• David Allen Walsh, R.P.T
• Ashlee Denese Walters
• Danielle Deserae Walton
• Nathanial David Warner, ATC, LAT
• Ernest Jason Washburn, DMD
• Logan Michael Washburn
• Marguerite England Waters, CRNP, FNP-BC
• Chantelle Watson, CRNP
• Katelyn Watts, PHARM D.

• Dentist in Auburn, AL
• Providers in Auburn, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.