NPIMap

Organization Active NPI

Twelve Dental

Doing business as Twelve Dental- Clanton

  • General Practice Dentistry
  • Clanton, AL
National Provider Identifier
1982422440
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TWELVE DENTAL
Doing business as
Twelve Dental- Clanton
Practice address
102 Popwell Ave
Clanton, AL 35045-2324
Phone
(205) 755-3530
NPI assigned
Oct 2, 2024
Last updated
Oct 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Authorized official

Name
Melissa Ray
Title
Practice Manager
Phone
(205) 755-3530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

102 Popwell Ave
Clanton, AL 35045-2324

Mailing address

102 Popwell Ave
Clanton, AL 35045-2324
Phone (205) 755-3530

Other names 1

  • Twelve Dental- Clanton Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Twelve Dental3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

102 Popwell Ave
Clanton, AL 35045
Phone (205) 755-3530

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1982422440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 POPWELL AVE",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350452324",
            "telephone_number": "205-755-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 POPWELL AVE",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350452324",
            "telephone_number": "205-755-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWELVE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "205-755-3530"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twelve Dental- Clanton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clanton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.