Southern Comfort Dental Anesthesia

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

Legal business name

SOUTHERN COMFORT DENTAL ANESTHESIA

Practice address

4032 Balmoral Dr SW
Huntsville, AL 35801-6402

Phone

(720) 936-9168

NPI assigned

Sep 19, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Paul Wilson, DMDNPI 1710345160

Title

President

Phone

(720) 936-9168

Specialties & licenses 1

Addresses

Practitioners 1

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

• Paul Wilson, D.M.D

  • Dental Anesthesiology
  • Huntsville, AL
  • NPI 1710345160
  NPD Authorized official

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1609599349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MEADOWGLADE LN",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357586851",
            "telephone_number": "720-936-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4032 BALMORAL DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016402",
            "telephone_number": "720-936-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN COMFORT DENTAL ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-936-9168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Huntsville Dentistry, P.C.
• South Parkway Chiropractic
• Laura Kelly South, PHARM.D
• Stephanie Southard, RN
• Southcare Clinic, P.C.
• Southern Comfort for Feet
• Southern Family Markets LLC
• Southern Grace Medical Care, LLC
• Southern Medical Equipment, Corp
• Randall Keith Southern, EDD, LPC

• Dental Anesthesiology in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Dental Anesthesiology in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.