NPIMap

Organization Active NPI

Dixieland Dental

  • Dental Clinic/Center
  • Midland City, AL
National Provider Identifier
1740428937
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
LNO3358 Issued in AL
Legal business name
DIXIELAND DENTAL
Practice address
15622 S. US Hwy 231
Midland City, AL 36350
Phone
(334) 983-3558
Fax
(334) 983-3255
NPI assigned
Jan 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Authorized official

Name
Dr. Michael Carl Precise, DMDNPI 1770526493
Title
Owner
Phone
(334) 983-3558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X LNO3358 AL Primary

Addresses

Primary practice location

15622 S. US Hwy 231
Midland City, AL 36350

Mailing address

PO Box 695
Midland City, AL 36350-0695
Phone (334) 983-3558

National Provider Directory

National Provider Directory

Locations

15622 S US Highway 231
Midland City, AL 36350
Phone (334) 983-3558

Practitioners & affiliated clinicians

Practitioners 4

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": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1740428937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 695",
            "city": "MIDLAND CITY",
            "state": "AL",
            "postal_code": "363500695",
            "telephone_number": "334-983-3558",
            "fax_number": "334-983-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15622 S. US HWY 231",
            "city": "MIDLAND CITY",
            "state": "AL",
            "postal_code": "36350",
            "telephone_number": "334-983-3558",
            "fax_number": "334-983-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXIELAND DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "PRECISE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-983-3558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "LNO3358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.