E Dental

Primary specialty

DentistTaxonomy code 122300000X

License

6073 Issued in AL

Legal business name

E DENTAL

Practice address

6956 Vaughn Rd
Montgomery, AL 36116

Phone

(334) 578-0011

NPI assigned

Feb 17, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Sophie Kim

Title

DMD

Phone

(201) 905-4140

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392595200000",
    "number": "1871917583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6956 VAUGHN RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36116",
            "telephone_number": "334-578-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6956 VAUGHN RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36116",
            "telephone_number": "334-578-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2014-02-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SOPHIE",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "201-905-4140",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "6073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Simmons Duty, O.D.
• DV Med Supplies LLC
• Christina Dyer
• Dynamic Journeys
• Alftan Denise Dyson, PHARM.D.
• E Z Health Clinic
• E. Arnold Johnson, DO, PC
• Livingston Lee Eaddy Jr., MD
• Bernadette Early, PHARMD
• William Thomas Earnest, CRNP, PMHNP-BC

• Dentist in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.