NPIMap

Organization Active NPI

William J Dubose DMD PA

  • Dentist
  • Montgomery, AL
National Provider Identifier
1740216324
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2341 Issued in AL
Legal business name
WILLIAM J DUBOSE DMD PA
Practice address
210 Winton M Blount Loop
Montgomery, AL 36117-3501
Phone
(334) 271-0805
Fax
(334) 271-1957
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William J Dubose, DMD
Title
President
Phone
(334) 271-0805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2341 AL Primary

Addresses

Primary practice location

210 Winton M Blount Loop
Montgomery, AL 36117-3501

Mailing address

210 Winton M Blount Loop
Montgomery, AL 36117-3501
Phone (334) 271-0805

National Provider Directory

National Provider Directory

Locations

210 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 271-0805

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740216324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WINTON M BLOUNT LOOP",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173501",
            "telephone_number": "334-271-0805",
            "fax_number": "334-271-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WINTON M BLOUNT LOOP",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173501",
            "telephone_number": "334-271-0805",
            "fax_number": "334-271-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J DUBOSE DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUBOSE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-271-0805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "2341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.