Peter Wade Dube, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5072 Issued in AL

Practice address

508 Bangor Ave SE
Hanceville, AL 35077

Phone

(256) 352-4422

NPI assigned

Sep 28, 2007

Last updated

Sep 28, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Affordable Family Dentistry P.C.

  • Dentist
  • Cullmar, AL
  • NPI 1811229891
  NPD (past) Authorized official
• Dube Family Dentistry Inc

  • General Practice Dentistry
  • Hanceville, AL
  • NPI 1043405939
  NPD (past) Authorized official

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190937600000",
    "number": "1932396314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 353",
            "city": "HANCEVILLE",
            "state": "AL",
            "postal_code": "35077",
            "telephone_number": "256-352-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 BANGOR AVE SE",
            "city": "HANCEVILLE",
            "state": "AL",
            "postal_code": "35077",
            "telephone_number": "256-352-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBE",
        "first_name": "PETER",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Choices Family Counseling Services, LLC
• Falyn Cole Cochran
• Cullman Regional Medical Center (Hanceville Health Center)
• Dodge City Medical Clinic, Inc.
• Dube Family Dentistry Inc
• Edmondson Drug Company Inc (Lakeside Pharmacy)
• Charlotte M Edmondson, PHARM D
• Ashley Frey, CRNP
• Eileen M Gallagher, DO
• Zachary Blake Gentry

• General Practice Dentistry in Hanceville, AL
• Providers in Hanceville, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.