Organization Active NPI

Diamond Dental Solutions

  • General Practice Dentistry
  • Prattville, AL
National Provider Identifier
1669079943
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DIAMOND DENTAL SOLUTIONS
Practice address
542 McQueen Smith Rd N
Prattville, AL 36066-5558
Phone
(334) 358-4848
NPI assigned
Oct 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Authorized official

Name
Matthew David Holley, DMDNPI 1235341306
Title
President and Ceo
Phone
(334) 358-4848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

542 McQueen Smith Rd N
Prattville, AL 36066-5558

Mailing address

542 McQueen Smith Rd N
Prattville, AL 36066-5558
Phone (334) 358-4848

Other names 1

  • Holley Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

542 McQueen Smith Rd N
Prattville, AL 36066
Phone (334) 358-4848

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1669079943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 MCQUEEN SMITH RD N",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360665558",
            "telephone_number": "334-358-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 MCQUEEN SMITH RD N",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360665558",
            "telephone_number": "334-358-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND DENTAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "HOLLEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "334-358-4848",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holley Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prattville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.