Shoals Pediatric Dentistry, P.C.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

5111 Issued in AL

Legal business name

SHOALS PEDIATRIC DENTISTRY, P.C.

Practice address

640 Cox Creek Pkwy
Florence, AL 35630-1105

Phone

(256) 760-5660

Fax

(256) 760-4681

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robin E. Lents, D.D.S.NPI 1437175114

Title

President/Pediatric Dentist

Phone

(256) 760-5660

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robin Elizabeth Lents, D.D.S.

  • Pediatric Dentistry
  • Florence, AL
  • NPI 1437175114
  NPD (past) Authorized official

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851488233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 COX CREEK PKWY",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301105",
            "telephone_number": "256-760-5660",
            "fax_number": "256-760-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 COX CREEK PKWY",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301105",
            "telephone_number": "256-760-5660",
            "fax_number": "256-760-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOALS PEDIATRIC DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LENTS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT/PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "256-760-5660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "5111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shoals Orthopedics and Sports Medicine
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• Shoals Orthotics & Prosthetics,Inc
• Shoals Pediatric Group PC
• Shoals Senior Solutions
• Shoals Urological Associates PC
• Shoals Womens Health & Wellness, LLC
• Emily Danielle Shockley

• Pediatric Dentistry in Florence, AL
• Providers in Florence, AL by specialty
• Pediatric Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.