McAdory Dental Center, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

5374 Issued in AL

Legal business name

MCADORY DENTAL CENTER, LLC

Practice address

4764 Eastern Valley Rd
Suite 104
MC Calla, AL 35111-3469

Phone

(205) 436-2683

Fax

(205) 436-2685

NPI assigned

Dec 27, 2013

Last updated

Dec 27, 2013By 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

Shelley Patterson

Title

Receptionist

Phone

(205) 436-2683

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1388102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388102400000",
    "number": "1912328527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4764 EASTERN VALLEY RD",
            "address_2": "SUITE 104",
            "city": "MC CALLA",
            "state": "AL",
            "postal_code": "351113469",
            "telephone_number": "205-436-2683",
            "fax_number": "205-436-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4764 EASTERN VALLEY RD",
            "address_2": "SUITE 104",
            "city": "MC CALLA",
            "state": "AL",
            "postal_code": "351113469",
            "telephone_number": "205-436-2683",
            "fax_number": "205-436-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCADORY DENTAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-27",
        "last_updated": "2013-12-27",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "205-436-2683"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5334",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Morgan McNeill

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; 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.