Organization Active NPI

Lake Guntersville Dentistry

  • Dental Clinic/Center
  • Guntersville, AL
National Provider Identifier
1902392061
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LAKE GUNTERSVILLE DENTISTRY
Practice address
1621 Blount Ave
Guntersville, AL 35976-1839
Phone
(256) 582-5652
NPI assigned
Jul 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Authorized official

Name
Dania Floyd
Title
Office Admin
Phone
(256) 582-5652

Specialties & licenses 1

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

Addresses

Primary practice location

1621 Blount Ave
Guntersville, AL 35976-1839

Mailing address

1621 Blount Ave
Guntersville, AL 35976-1839
Phone (256) 582-5652

National Provider Directory

National Provider Directory

Locations

1621 Blount Ave
Guntersville, AL 35976
Phone (256) 582-5652

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": "1530489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530489600000",
    "number": "1902392061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 BLOUNT AVE",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359761839",
            "telephone_number": "256-582-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 BLOUNT AVE",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359761839",
            "telephone_number": "256-582-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE GUNTERSVILLE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "DANIA",
        "authorized_official_title_or_position": "OFFICE ADMIN",
        "authorized_official_telephone_number": "256-582-5652"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guntersville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.