Dothan Endo, LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

DOTHAN ENDO, LLC

Doing business as

Dothan Endodontic Associates, PC

Practice address

220 Healthwest Dr Ste 1
Dothan, AL 36303-2047

Phone

(334) 793-7687

Fax

(334) 793-0067

NPI assigned

Nov 6, 2023

Last updated

Nov 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lee Van Carroll, DMDNPI 1609076587

Title

Owner/Endodontist

Phone

(334) 793-7687

Specialties & licenses 1

Addresses

Other names 1

• Dothan Endodontic Associates, PC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lee Van Carroll, D.M.D.

  • Endodontics
  • Dothan, AL
  • NPI 1609076587
  Authorized official Same address or phone

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1811760317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 HEALTHWEST DR STE 1",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032047",
            "telephone_number": "334-793-7687",
            "fax_number": "334-793-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HEALTHWEST DR STE 1",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032047",
            "telephone_number": "334-793-7687",
            "fax_number": "334-793-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOTHAN ENDO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "OWNER/ENDODONTIST",
        "authorized_official_telephone_number": "334-793-7687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dothan Endodontic Associates, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dothan Cosmetic Dentistry, PC
• Dothan Counseling Associates, P.C.
• Dothan Dental Group, PC
• Dothan Diagnostic Imaging Radiology, PLLC (Dothan Diagnostic Imaging)
• Dothan Diagnostic Imaging, Inc
• Dothan Endodontic Associates, P.C.
• Dothan Hearing Aid Center, Inc.
• Dothan Hematology & Oncology PC
• Dothan Hematology & Oncology PC
• Dothan Houston County Mental Retardation Board, Inc. (Vaughn Blumberg Services)

• Endodontics in Dothan, AL
• Providers in Dothan, AL by specialty
• Endodontics in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.