MONTGOMERY DENTAL ARTS LLC – NPI #1376996512
Clinic/Center

MONTGOMERY DENTAL ARTS LLC is an AHC clinic located in MONTGOMERY, AL. NPPES has assigned the NPI number 1376996512 to MONTGOMERY DENTAL ARTS LLC on July 22, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was last updated on Dec 17, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MONTGOMERY DENTAL ARTS LLC below.

NPI Profile for
MONTGOMERY DENTAL ARTS LLC

NPI Number
1376996512
Enumeration Date

(about 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MONTGOMERY DENTAL ARTS LLC
Primary location
10650 CHANTILLY PARKWAY
MONTGOMERY, AL 36117
Phone: (334) 398-2907 Fax: (678) 840-3982
Mailing address
10650 CHANTILLY PKWY
MONTGOMERY, AL 36117-7582
Phone: (334) 356-0228 Fax: (334) 356-0264
Organization Subpart
No
Authorized Official
DOMINIQUE SHAMBURGER
MBR
Phone: (334) 356-0228
Updated
Certification Date
Dec 17, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)
1223S0112X
- Dentist / Oral and Maxillofacial Surgery

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.