Organization Active NPI

Zack D Studstill LLC

  • General Practice Dentistry
  • Montgomery, AL
National Provider Identifier
1548470263
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2694 Issued in AL
Legal business name
ZACK D STUDSTILL LLC
Practice address
1556 E Trinity Blvd
Montgomery, AL 36106-3609
Phone
(334) 277-5688
Fax
(334) 277-4222
NPI assigned
May 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Zack D Studstill, DMD
Title
Member
Phone
(334) 277-5688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2694 AL Primary

Addresses

Primary practice location

1556 E Trinity Blvd
Montgomery, AL 36106-3609

Mailing address

1556 East Trinity Blvd
Montgomery, AL 36106-3609
Phone (334) 277-5688

National Provider Directory

National Provider Directory

Locations

1556 E Trinity Blvd
Montgomery, AL 36106
Phone (334) 277-5688

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548470263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1556 EAST TRINITY BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063609",
            "telephone_number": "334-277-5688",
            "fax_number": "334-277-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1556 E TRINITY BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063609",
            "telephone_number": "334-277-5688",
            "fax_number": "334-277-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACK D STUDSTILL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STUDSTILL",
        "authorized_official_first_name": "ZACK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "334-277-5688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "2694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.