NPIMap

Organization Active NPI

Dynamic Dentistry of the Shoals, PC

  • Dentist
  • Muscle Shoals, AL
National Provider Identifier
1750782827
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5698 Issued in AL
Legal business name
DYNAMIC DENTISTRY OF THE SHOALS, PC
Practice address
921 Avalon Ave Ste C
Muscle Shoals, AL 35661-2344
Phone
(256) 320-2150
Fax
(256) 320-2125
NPI assigned
Sep 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Authorized official

Name
Dr. Julie Rice, DMDNPI 1386877850
Title
Dentist/Owner
Phone
(205) 504-9784

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 5698 AL Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 5185 AL

Addresses

Primary practice location

921 Avalon Ave Ste C
Muscle Shoals, AL 35661-2344

Mailing address

921 Avalon Ave Ste C
Muscle Shoals, AL 35661-2344
Phone (256) 320-2150

National Provider Directory

National Provider Directory

Locations

921 Avalon Ave
Ste C
Muscle Shoals, AL 35661
Phone (256) 320-2150

Practitioners & affiliated clinicians

Practitioners 2

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": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1750782827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 AVALON AVE STE C",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612344",
            "telephone_number": "256-320-2150",
            "fax_number": "256-320-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 AVALON AVE STE C",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612344",
            "telephone_number": "256-320-2150",
            "fax_number": "256-320-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC DENTISTRY OF THE SHOALS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "205-504-9784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "5698",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "5185",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscle Shoals, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.