NPIMap

Organization Active NPI

Southern Dentistry, P.C.

  • General Practice Dentistry
  • Daphne, AL
National Provider Identifier
1487817987
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5509 Issued in AL
Legal business name
SOUTHERN DENTISTRY, P.C.
Practice address
8477A County Road 64
Suite 3
Daphne, AL 36526-8714
Phone
(251) 621-1301
NPI assigned
Jul 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Dr. Michael Albert Nebrig, DMD
Title
Owner/Dentist
Phone
(251) 621-1301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 5509 AL Primary

Addresses

Primary practice location

8477A County Road 64
Suite 3
Daphne, AL 36526-8714

Mailing address

8477A County Road 64
Suite 3
Daphne, AL 36526-8714
Phone (251) 621-1301

National Provider Directory

National Provider Directory

Locations

8477A County Road 64
Ste 3
Daphne, AL 36526
Phone (251) 621-1301

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1487817987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8477A COUNTY ROAD 64",
            "address_2": "SUITE 3",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365268714",
            "telephone_number": "251-621-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8477A COUNTY ROAD 64",
            "address_2": "SUITE 3",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365268714",
            "telephone_number": "251-621-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "NEBRIG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "251-621-1301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.