Organization Active NPI

S. Jill Spurlin, DMD, LLC

  • General Practice Dentistry
  • Enterprise, AL
National Provider Identifier
1669917340
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4607 Issued in AL
Legal business name
S. JILL SPURLIN, DMD, LLC
Practice address
510 E Lee St
Enterprise, AL 36330-2031
Phone
(334) 475-2624
Fax
(334) 475-2984
NPI assigned
Jan 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Authorized official

Name
Dr. Sharon Jill Spurlin, D.M.D.
Title
Owner / Dentist
Phone
(334) 475-2624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4607 AL Primary

Addresses

Primary practice location

510 E Lee St
Enterprise, AL 36330-2031

Mailing address

510 E Lee St
Enterprise, AL 36330-2031
Phone (334) 475-2624

National Provider Directory

National Provider Directory

Locations

510 E Lee St
Enterprise, AL 36330
Phone (334) 475-2624

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": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1669917340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E LEE ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302031",
            "telephone_number": "334-475-2624",
            "fax_number": "334-475-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E LEE ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302031",
            "telephone_number": "334-475-2624",
            "fax_number": "334-475-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. JILL SPURLIN, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "SPURLIN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "JILL",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "334-475-2624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.