WETUMPKA FAMILY DENTISTRY – NPI #1790815249
Clinic/Center

WETUMPKA FAMILY DENTISTRY is an AHC clinic located in WETUMPKA, AL. NPPES has assigned the NPI number 1790815249 to WETUMPKA FAMILY DENTISTRY on March 06, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WETUMPKA FAMILY DENTISTRY” is a dba name, the actual legal business name for this organization is WETUMPKA FAMILY DENTISTRY PC. 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 previously updated about 11 years ago on Jan 13, 2015. 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 WETUMPKA FAMILY DENTISTRY below.

NPI Profile for
WETUMPKA FAMILY DENTISTRY PC

NPI Number
1790815249
Enumeration Date

(more than 19 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
WETUMPKA FAMILY DENTISTRY PC
Doing Business As (dba): WETUMPKA FAMILY DENTISTRY
Primary location
4045 HWY 231
WETUMPKA, AL 36093
Phone: (334) 567-4334 Fax: (334) 567-4248
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DAVID YOUNG
DENTIST
Phone: (334) 567-4334
Updated
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)		 AL 4753

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.