DENTAL ASSOCIATES OF HAMPTON COVE LLC NPI 1922514199

Clinic/Center (Dental) in Owens Cross Roads, AL

NPI 1922514199 Organization Clinic/Center Dental

About DENTAL ASSOCIATES OF HAMPTON COVE LLC

Dental Associates Of Hampton Cove Llc is a provider established in Owens Cross Roads, Alabama specializing in clinic/center (dental) . The NPI number of Dental Associates Of Hampton Cove Llc is 1922514199 and was assigned on December 2017. The practitioner's primary taxonomy code is 261QD0000X with license number D6202 (AL). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dr. Lorrie Brace Green Dmd (Dentist/ Partner Owner)

NPI

1922514199

Provider NameDENTAL ASSOCIATES OF HAMPTON COVE LLC
Provider Location Address6838 HIGHWAY 431 S STE B OWENS CROSS ROADS, AL 35763
Provider Mailing Address6838B HIGHWAY 431 S STE B OWENS CROSS ROADS, AL 35763
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date12-23-2017
Last Update Date12-23-2017


Primary Taxonomy

Taxonomy Code261QD0000X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationDental
License No.D6202
License StateAL

Business Address

DENTAL ASSOCIATES OF HAMPTON COVE LLC
6838 HIGHWAY 431 S STE B
OWENS CROSS ROADS, AL
ZIP 35763
Phone: (256) 536-8120
Fax: (256) 536-8154

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Mailing Address

DENTAL ASSOCIATES OF HAMPTON COVE LLC
6838B HIGHWAY 431 S STE B
OWENS CROSS ROADS, AL
ZIP 35763
Phone: (256) 536-8120
Fax: (256) 536-8154



Authorized Official

Authorized Official NameDR. LORRIE BRACE GREEN DMD
Authorized Official TitleDENTIST/ PARTNER OWNER
Authorized Official Phone(915) 217-8763

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.