NPIMap

Organization Active NPI

Wetumpka Family Dentistry PC

Doing business as Wetumpka Family Dentistry

  • Dental Clinic/Center
  • Wetumpka, AL
National Provider Identifier
1790815249
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4753 Issued in AL
Legal business name
WETUMPKA FAMILY DENTISTRY PC
Doing business as
Wetumpka Family Dentistry
Practice address
4045 Hwy 231
Wetumpka, AL 36093
Phone
(334) 567-4334
Fax
(334) 567-4248
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Authorized official

Name
Dr. David C Young, DMD
Title
Dentist
Phone
(334) 567-4334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 4753 AL Primary

Addresses

Primary practice location

4045 Hwy 231
Wetumpka, AL 36093

Mailing address

4045 Hwy 231
Wetumpka, AL 36093
Phone (334) 567-4334

Other names 1

  • Wetumpka Family Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1790815249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 HWY 231",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "36093",
            "telephone_number": "334-567-4334",
            "fax_number": "334-567-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 HWY 231",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "36093",
            "telephone_number": "334-567-4334",
            "fax_number": "334-567-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WETUMPKA FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "334-567-4334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "4753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wetumpka Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wetumpka, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.