Brent Dental Care

Primary specialty

DentistTaxonomy code 122300000X

License

AL 4726 Issued in AL

Legal business name

BRENT DENTAL CARE

Practice address

2939 Main St
Box 960
Brent, AL 35034-4000

Phone

(205) 926-1901

NPI assigned

Sep 14, 2006

Last updated

Sep 12, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

MOON ROAD COSMETIC & FAMILY DENTISTRYAs reported in NPPES

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

Authorized official

Name

Dr. Dayo Obebe, DMD

Title

Director

Phone

(205) 936-2151

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Riverchase Dental Care

Locations

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1750486684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 MAIN ST",
            "address_2": "P.O. BOX 960",
            "city": "BRENT",
            "state": "AL",
            "postal_code": "350344000",
            "telephone_number": "205-926-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2939 MAIN ST",
            "address_2": "BOX 960",
            "city": "BRENT",
            "state": "AL",
            "postal_code": "350344000",
            "telephone_number": "205-926-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT DENTAL CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOON ROAD COSMETIC & FAMILY DENTISTRY",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "OBEBE",
        "authorized_official_first_name": "DAYO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "205-936-2151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "AL 4726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529926460",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angel Badea
• Robert Trent Bamberg
• Edward Robert Bartlett, A.T,C. L.A.T.
• Christine Blass
• Erin E Brantley, PT
• Ashlie Blake Cash, PT
• Encore Rehabilitation, Inc. (Encore Rehab of Centreville)
• Elizabeth S Fenn, PTA
• Brittany Ann Humphries, LPC
• Angelica Vinya' Jenkins

• Dentist in Brent, AL
• Providers in Brent, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.