West Princeton Dental Clinic

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WEST PRINCETON DENTAL CLINIC

Practice address

859 Lomb Ave SW
Birmingham, AL 35211-1257

Phone

(205) 788-2124

NPI assigned

Aug 29, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Pamela Jackson Butler

Title

Office Manager

Phone

(205) 788-2124

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adolphus Myron Jackson, D.M.D.

  • General Practice Dentistry
  • Birmingham, AL
  • NPI 1700979994
  NPD (past)
• Gerard Jari Rolle, D.M.D.

  • General Practice Dentistry
  • Birmingham, AL
  • NPI 1033346903
  NPD (past)
• Stephen Lamar Greene, D.D.S

  • Pediatric Dentistry
  • Daytona Beach, FL
  • NPI 1194113373
  NPD (past)
• Harry Jacobi Peoples II, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Newnan, GA
  • NPI 1962995225
  NPD (past)

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1639363955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 LOMB AVE SW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 LOMB AVE SW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111257",
            "telephone_number": "205-788-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PRINCETON DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "205-788-2124",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1700-9799-94",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bronson Wessinger
• Judith Johanna Wesson Suarez, LICSW, LCSW
• Lacey Jae Wesson
• West Neuropsychology, LLC
• West Point Optical Group
• Caroline W West, LPC
• Chung Ah Kim West
• David Leslie West, M.D.
• Delisa Arlinda West, PHD
• Gloria Jean West, CRNA

• Dentist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.