Etherton Family Dentistry PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ETHERTON FAMILY DENTISTRY PC

Practice address

6 Medical Park
Valley, AL 36854-3665

Phone

(334) 756-4178

Fax

(334) 756-5884

NPI assigned

Oct 19, 2020

Last updated

Oct 19, 2020By 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

Dr. Jason Anthony Etherton, DMDNPI 1306912621

Title

President

Phone

(334) 756-4178

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, and the practitioner matching its NPPES authorized official.

• Jason Anthony Etherton, D.M.D.

  • General Practice Dentistry
  • Valley, AL
  • NPI 1306912621
  NPD Authorized official

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1942809355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MEDICAL PARK",
            "city": "VALLEY",
            "state": "AL",
            "postal_code": "368543665",
            "telephone_number": "334-756-4178",
            "fax_number": "334-756-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MEDICAL PARK",
            "city": "VALLEY",
            "state": "AL",
            "postal_code": "368543665",
            "telephone_number": "334-756-4178",
            "fax_number": "334-756-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHERTON FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "ETHERTON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-756-4178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Alabama Water, Sewer, & Fire Protection District
• Emergency Medical Specialist
• Emergency Staffing Solutions Inc
• Encore Rehabilitation Inc
• Enrique Duprat MD PC
• Carla A Etherton Moore, CRNP
• Jason Anthony Etherton, D.M.D.
• David G Fagan, M.D.
• FDC Inc (Fairfax Drug Company)
• FDC, Inc (Fairfax Drug Co.)

• Dental Clinic/Center in Valley, AL
• Providers in Valley, AL by specialty
• Dental Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.