River Region Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4146 Issued in AL

Legal business name

RIVER REGION DENTISTRY

Practice address

125 Coliseum Blvd
Montgomery, AL 36109-2707

Phone

(334) 272-0110

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Roy Harrell Bullard, DMDNPI 1679655757

Title

President

Phone

(334) 272-0110

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.

• Roy Harrell Bullard, DMD

  • General Practice Dentistry
  • Montgomery, AL
  • NPI 1679655757
  NPD (past) Authorized official

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1609941715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 COLISEUM BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361092707",
            "telephone_number": "334-272-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 COLISEUM BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361092707",
            "telephone_number": "334-272-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER REGION DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "BULLARD",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "HARRELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-272-0110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan E Riser, PH.D, LPC
• Rite of Passage
• River City Wellness, LLC.
• River Region Cardiology Associates, PC
• River Region Counseling Center LLC
• River Region Dermatology and Laser Inc
• River Region Hospital
• River Region Pain Management, PC
• River Region Psychiatry Associates LLC
• River Region Psychiatry Services, LLC

• General Practice Dentistry in Montgomery, AL
• Providers in Montgomery, 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 Jul 10, 2015; 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.