Organization Active NPI

Alliance Dental Group

  • General Practice Dentistry
  • Kings Mountain, NC
National Provider Identifier
1770136103
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ALLIANCE DENTAL GROUP
Practice address
1303 Plaza Dr
Kings Mountain, NC 28086-2653
Phone
(704) 739-7956
NPI assigned
Jul 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Authorized official

Name
Mrs. Deana P. Vernon
Title
Regional Manager
Phone
(704) 880-2297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1303 Plaza Dr
Kings Mountain, NC 28086-2653

Mailing address

747 Brawley School Rd
Mooresville, NC 28117-9122
Phone (704) 663-3001

Other practice location 1

747 Brawley School Rd
Mooresville, NC 28117-9122
Phone (704) 663-3001

National Provider Directory

National Provider Directory

Locations

747 Brawley School Rd
Mooresville, NC 28117
Phone (704) 663-3001

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1770136103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 BRAWLEY SCHOOL RD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179122",
            "telephone_number": "704-663-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 PLAZA DR",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280862653",
            "telephone_number": "704-739-7956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "747 Brawley School Rd",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281179122",
            "country_code": "US",
            "telephone_number": "704-663-3001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLIANCE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "VERNON",
        "authorized_official_first_name": "DEANA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "704-880-2297",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kings Mountain, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.