Individual provider Active NPI

Franklin Alcide Dentremont Jr., DMD

  • General Practice Dentistry
  • Gulf Shores, AL
National Provider Identifier
1730220955
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4021 Issued in AL
Practice address
3501 Gulf Shores Pkwy
Suite 4
Gulf Shores, AL 36542-5710
Phone
(251) 943-0004
Fax
(844) 208-8385
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4021 AL Primary
General Practice Dentistry 1223G0001X 2834 ME

Addresses

Primary practice location

3501 Gulf Shores Pkwy
Suite 4
Gulf Shores, AL 36542-5710

Mailing address

3501 Gulf Shores Pkwy
Suite 4
Gulf Shores, AL 36542-5710
Phone (251) 943-0004

Other identifiers 3

IdentifierTypeStateIssuer
511-37567OtherALBLUE CROSS BLUE SHIELD ALABAMA
149832MedicaidAL
2898361OtherALUNITED CONCORDIA OF ALABAMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2834MEMDGeneral Practice Dentistry
4021ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dentremont Dental Services PC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1730220955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 GULF SHORES PKWY",
            "address_2": "SUITE 4",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365425710",
            "telephone_number": "251-943-0004",
            "fax_number": "844-208-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 GULF SHORES PKWY",
            "address_2": "SUITE 4",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365425710",
            "telephone_number": "251-943-0004",
            "fax_number": "844-208-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENTREMONT",
        "first_name": "FRANKLIN",
        "middle_name": "ALCIDE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4021",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "2834",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ALABAMA",
            "identifier": "511-37567",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149832",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA OF ALABAMA",
            "identifier": "2898361",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Shores, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.