Athens Dental Services

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3577 Issued in AL

Legal business name

ATHENS DENTAL SERVICES

Practice address

721 W Market St
Suite a
Athens, AL 35611-2456

Phone

(256) 232-3415

Fax

(256) 230-2648

NPI assigned

Dec 5, 2007

Last updated

Apr 1, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lyndon J Campbell, DDS

Title

Owner/President

Phone

(256) 232-3415

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Philip B Tregoning, D.M.D.

  • General Practice Dentistry
  • Athens, AL
  • NPI 1619057254
  NPD

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1730361395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W MARKET ST",
            "address_2": "SUITE A",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112456",
            "telephone_number": "256-232-3415",
            "fax_number": "256-230-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W MARKET ST",
            "address_2": "SUITE A",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112456",
            "telephone_number": "256-232-3415",
            "fax_number": "256-230-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS DENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "LYNDON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "256-232-3415",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER",
            "identifier": "1366522989",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Athens Chiropractic PC
• Athens City School District
• Athens Community Care
• Athens Convalescent Center (Athens Nursing Home)
• Athens Creekside Drugs, LLC
• Athens Eye Care Center, P.C.
• Athens Eye Clinic, PC
• Athens Family Care, Dba
• Athens Family Care, LLC
• Athens Family Medicine

• General Practice Dentistry in Athens, AL
• Providers in Athens, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.