Tuscaloosa Family Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6039 Issued in AL

Legal business name

TUSCALOOSA FAMILY DENTAL, LLC

Doing business as

Tuscaloosa Family Dental

Practice address

7402 Highway 69 S
Tuscaloosa, AL 35405-1300

Phone

(205) 451-3010

NPI assigned

Jan 19, 2018

Last updated

Jan 19, 2018By 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. Kimberly Parker Lewis, DDS

Title

Owner

Phone

(205) 451-3010

Specialties & licenses 1

Addresses

Other names 1

• Tuscaloosa Family Dental Doing business as

Locations

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1558879817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 TREE CROSSINGS PKWY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444051",
            "telephone_number": "205-451-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7402 HIGHWAY 69 S",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354051300",
            "telephone_number": "205-451-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUSCALOOSA FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "PARKER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-451-3010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tuscaloosa Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tuscaloosa County Office of Treasurer (Tuscaloosa County Comm)
• Tuscaloosa Dental LLC (Children's Dentistry for Alabama)
• Tuscaloosa Drug 5 Points, LLC (Tuscaloosa Drug 5 Points)
• Tuscaloosa Drug Capstone LLC (Tuscaloosa Drug Capstone)
• Tuscaloosa Ear Nose & Throat Center PC
• Tuscaloosa Family Practice and Obstetrics, P.C.
• Tuscaloosa General Dentistry
• Tuscaloosa Geriatrics, P.C.
• Tuscaloosa Gynecology Inc
• Tuscaloosa Juvenile Detention Center

• General Practice Dentistry in Tuscaloosa, AL
• Providers in Tuscaloosa, 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 Jan 19, 2018; 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.