Complete Dental Meridianville, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

COMPLETE DENTAL MERIDIANVILLE, LLC

Practice address

11808 Highway 231 431 N
Meridianville, AL 35759-2126

Phone

(256) 774-7228

NPI assigned

Sep 18, 2019

Organization subpart

Yes

Parent organization

MADISON DENTAL CENTER L.L.C.As reported in NPPES

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

Authorized official

Name

Dr. Brandon Chambless, DMD

Title

Owner

Phone

(256) 774-7228

Specialties & licenses 1

Addresses

Part of

Madison Dental Center LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Madison Dental Center L.L.C.

  • General Practice Dentistry
  • Madison, AL
  • NPI 1306931878
  NPPES parent name

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1568012904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W DUBLIN DR STE 202",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583157",
            "telephone_number": "256-774-7228",
            "fax_number": "256-464-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11808 HIGHWAY 231 431 N",
            "city": "MERIDIANVILLE",
            "state": "AL",
            "postal_code": "357592126",
            "telephone_number": "256-774-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE DENTAL MERIDIANVILLE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MADISON DENTAL CENTER L.L.C.",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "CHAMBLESS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-774-7228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olinfra Brathwaite
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• Stephanie Amanda Burkett, D.C.
• Emily Evans Byrd, PHARM.D.
• Jessica Nicole Cartwright, DPT
• CRH Umc LLC
• Sandy Davis, PHARMD
• Sydney Elise Dirigo, BCBA
• Lauren Thornton Duffey, PHARM D.
• Jeffrey Thomas Franzen, DC

• General Practice Dentistry in Meridianville, AL
• Providers in Meridianville, 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 Sep 18, 2019; 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.