The Grove Dentistry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

THE GROVE DENTISTRY LLC

Practice address

297C S Jackson St
Grove Hill, AL 36451-3231

Phone

(251) 275-3822

NPI assigned

Jan 4, 2024

Organization subpart

No

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

Authorized official

Name

Andrea Johnson, DMDNPI 1033779988

Title

Dentist/Owner

Phone

(251) 275-3822

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Andrea Johnson, DMD

  • Dentist
  • Grove Hill, AL
  • NPI 1033779988
  NPD Authorized official
• Victor Clarence Hawkins, DMD

  • Dentist
  • Grove Hill, AL
  • NPI 1558468173
  NPD (past)

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1750151361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 879",
            "city": "GROVE HILL",
            "state": "AL",
            "postal_code": "364510879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297C S JACKSON ST",
            "city": "GROVE HILL",
            "state": "AL",
            "postal_code": "364513231",
            "telephone_number": "251-275-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GROVE DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "251-275-3822",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• State of Alabama Department of Public Health
• Kayla Powell Stifflemire, CRNP
• Morgan Matthews Stuckey, CRNP
• Tiera Taite
• Shari Carroll Teasley, MS
• Haley Thorpe Clemmons, MS, ATC
• Timmy Owen Williams, CRNA
• Woodlot Emergency Physicians, LLC

• Dental Clinic/Center in Grove Hill, AL
• Providers in Grove Hill, 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 Jan 4, 2024; 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.