Gulf Coast Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3129 Issued in AL

Legal business name

GULF COAST DENTISTRY

Practice address

313 E 22ND Ave
Gulf Shores, AL 36542-3193

Phone

(251) 948-9313

Fax

(251) 948-8383

NPI assigned

Aug 24, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Charles David Stoddard, D.D.S.NPI 1598850828

Title

Owner

Phone

(251) 948-9313

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

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

• Charles David Stoddard

  • Dentist
  • Gulf Shores, AL
  • NPI 1598850828
  NPD (past) Authorized official
• Russel Fabian, DMD

  • Dentist
  • Gulf Shores, AL
  • NPI 1386326445
  NPD (past)
• Harlan Rhyal Knight, DMD

  • Dentist
  • Gulf Shores, AL
  • NPI 1790895811
  NPD (past)

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1497035273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 E 22ND AVE",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365423193",
            "telephone_number": "251-948-9313",
            "fax_number": "251-948-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 E 22ND AVE",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365423193",
            "telephone_number": "251-948-9313",
            "fax_number": "251-948-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "STODDARD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-948-9313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009924875",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Rae Garner, RN
• General Practice, P.C.
• Verushka Greer, CRNP
• GS Pharmacy LLC
• Gulf Coast Cancer Center
• Gulf Coast Family Chiropractic, PC
• Gulf Coast Radiology Associates Inc
• Gulf Shores Dental PLLC
• Gulf Shores Emergency Physicians, LLC
• Gulf Shores Family Medicine

• General Practice Dentistry in Gulf Shores, AL
• Providers in Gulf Shores, 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 Aug 24, 2011; 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.