Spanish Fort Dental Associates, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SPANISH FORT DENTAL ASSOCIATES, LLC

Practice address

6450 US Highway 90 Ste D
Spanish Fort, AL 36527-9480

Phone

(251) 626-7675

Fax

(251) 626-8194

NPI assigned

Apr 15, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Joel D. Green, DDSNPI 1558314385

Title

Dentist

Phone

(251) 978-6028

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joel D Green, D.D.S.

  • General Practice Dentistry
  • Mount Vernon, AL
  • NPI 1558314385
  NPD Authorized official
• Gabriel Alphonse Chamblin V, DMD

  • Dentist
  • Spanish Fort, AL
  • NPI 1083705594
  NPD (past)

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1750024840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 AUDUBON PL",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323001",
            "telephone_number": "251-978-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 US HIGHWAY 90 STE D",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365279480",
            "telephone_number": "251-626-7675",
            "fax_number": "251-626-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPANISH FORT DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "251-978-6028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Grace Slagle
• Michael Shay Smith, PHARMD
• Kevin Snyder
• Sonya Broadus, LPC PC
• Spanish Fort Chiropractic LLC
• Spanish Fort Dental Care, P.C.
• Spanish Fort Internal Medicine, P C
• Shelby Stewart, PHARMD
• Herbert A Stone Jr., MD
• Makenzie Portella Stringfellow

• Dental Clinic/Center in Spanish Fort, AL
• Providers in Spanish Fort, AL by specialty
• Dental Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.