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ATHENS DENTAL SERVICES NPI 1730361395


NPI Information

NPI: 1730361395
Provider Name: ATHENS DENTAL SERVICES
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
721 W MARKET ST
SUITE A
ATHENS, AL
ZIP 35611
Phone: (256) 232-3415
Get Directions

ATHENS DENTAL SERVICES is a general practice dentist in Athens, AL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. ATHENS DENTAL SERVICES NPI is 1730361395. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

721 W MARKET ST
SUITE A
ATHENS, AL
ZIP 35611-456
Phone: (256) 232-3415
Fax: (256) 230-2648

The provider's authorized official is Lyndon J Campbell .
The authorized official title is Owner/president and has the following contact phone number (256) 232-3415.

The enumeration date for this NPI number is 12/5/2007 and was last updated on 4/1/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice3577ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11366522989OTHERINDIVIDUAL PROVIDER
26248870001MEDICARE NSCALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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