NPIMap

Organization Active NPI

Affordable Dentures - Pell City/Eden, P.C.

  • Dentist
  • Pell City, AL
National Provider Identifier
1780970970
Registry record updated Jun 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
AFFORDABLE DENTURES - PELL CITY/EDEN, P.C.
Practice address
402 Cogswell Ave
Pell City, AL 35125-2446
Phone
(205) 338-2915
NPI assigned
Jun 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2011

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

Authorized official

Name
Reginald Rose, DMDNPI 1548385461
Title
Owner
Phone
(205) 338-2915

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

402 Cogswell Ave
Pell City, AL 35125-2446

Mailing address

402 Cogswell Ave
Pell City, AL 35125-2446
Phone (205) 338-2915

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1308960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308960000000",
    "number": "1780970970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 COGSWELL AVE",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351252446",
            "telephone_number": "205-338-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 COGSWELL AVE",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351252446",
            "telephone_number": "205-338-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES - PELL CITY/EDEN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-25",
        "last_updated": "2011-06-25",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-338-2915",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pell City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2011; 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.