Madison Dental Associates LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MADISON DENTAL ASSOCIATES LLC

Practice address

115 Rainbow Dr
Madison, AL 35758-8224

Phone

(256) 837-3274

Fax

(256) 837-3696

NPI assigned

Aug 25, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Franklin Sheftall, DDS

Title

Owner

Phone

(843) 991-0344

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1689954356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 RAINBOW DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588224",
            "telephone_number": "256-837-3274",
            "fax_number": "256-837-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 RAINBOW DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588224",
            "telephone_number": "256-837-3274",
            "fax_number": "256-837-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "SHEFTALL",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-991-0344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Blake Maddox, D.C.
• Madison Acupuncture Wellness LLC
• Madison Behavioral Diagnostic and Treatment Services
• Madison Chiropractic & Nutrition Center, LLC
• Madison City
• Madison Dental Associates, P.C.
• Madison Dental Center L.L.C.
• Madison Endodontics, LLC
• Madison Eye Care Center, LLC
• Madison Family Care, P.C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.