Shoals Dental Center, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3450 Issued in AL

Legal business name

SHOALS DENTAL CENTER, INC

Practice address

1603 N Wood Ave
Florence, AL 35630-2152

Phone

(256) 764-6091

Fax

(256) 764-6092

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gilbert Bradley Plott III, D.M.D.

Title

President

Phone

(256) 764-6091

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750497137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 N WOOD AVE",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302152",
            "telephone_number": "256-764-6091",
            "fax_number": "256-764-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 N WOOD AVE",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302152",
            "telephone_number": "256-764-6091",
            "fax_number": "256-764-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOALS DENTAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PLOTT",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-764-6091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shoals Ambulance LLC
• Shoals Audiology
• Shoals Committee on Programs and Employment for the Mentally Retarded
• Shoals Committee on Programs and Employment for the Mentally Retarded
• Shoals Counseling, LLC
• Shoals Foot and Ankle Clinic PC
• Shoals Gastroenterology LLC
• Shoals Gastroenterology, LLC
• Shoals Hearing Clinic, P.C.
• Shoals Home Services, LLC

• General Practice Dentistry in Florence, AL
• Providers in Florence, AL by specialty
• General Practice Dentistry in Alabama

• 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.