DR. KEN R TILASHALSKI (NPI# 1023188265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023188265 |
| Entity Type | Individual |
| Full Name | DR. KEN R TILASHALSKI |
| Credential | D.M.D. |
| Practice Address |
1919 Seventh Ave S Sdb Box 58 Birmingham AL 35294-0001 |
| Practice Telephone | 2059342340 |
| Practice Fax Number | 2059347899 |
| Mailing Telephone | 2059342340 |
| Mailing Fax Number | 2059347899 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
4744 | AL | Dental Providers |
| Street Address |
1919 SEVENTH AVE S SDB BOX 58 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35294-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144342668 | James Curtis Broome | Dentist | 1919 Seventh Ave S, Sdb Box 58, Birmingham, AL 35294-0001 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578055943 | Ashley Becking Smith | Optometrist | 1716 University Blvd G090a, Birmingham, AL 35294 | 2018-06-01 |
| 1235635780 | Ruoting Wei | Nurse Practitioner | Uab Nephrology Tht 6th Floor 1720 2nd Ave South, Birmingham, AL 35294 | 2018-04-03 |
| 1295235372 | Ruben Angiolo Mazzucchelli | Student in an Organized Health Care Education/Training Program | 901 Fot; 510 20th Street South, Uab Department of Orthopaedic Surgery, Birmingham, AL 35294 | 2018-02-15 |
| 1528571981 | Alison Rachel Thomas | Social Worker | Uab Community Psychiatry 908 20th Street South Rm 487, Birmingham, AL 35294 | 2017-11-08 |
| 1346752490 | Sara Michelle Kimbrell | Nurse Practitioner | 701 S. 19th Street, Lhr 112, Birmingham, AL 35294 | 2017-10-30 |
| 1801338785 | Melissa Robinson | Specialist/Technologist | 608 13th St South, Wb104, Birmingham, AL 35294 | 2016-11-09 |
| 1487020897 | Heriberto Enrique Matos Santana | Student in an Organized Health Care Education/Training Program | 1900 University Blvd Tht Building 311, Birmingham, AL 35294 | 2015-08-19 |
| 1073908364 | Jamie Youngshin Kim | Dentist | 1919 7th Avenue South, Sdb 305, University of Alabama School of Dentistry, Birmingham, AL 35294 | 2015-04-02 |
| 1407257629 | Kathryn Johannah Langley | Nurse Practitioner | 1530 3rd Avenue So, Tht 422, Birmingham, AL 35294 | 2014-09-08 |
| 1427463702 | Lakeshia Thomas | Student in an Organized Health Care Education/Training Program | 1919-7th Avenue South, 304a, Birmingham, AL 35294 | 2014-06-25 |
| Find all providers in zip 35294 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417283680 | Kristina Michelle Hopkins | Dentist | 4500 Montevallo Road, Suite B105, Birmingham, AL 35210-3128 | 2009-10-23 |
| 1609032192 | Robert Durham Barfield | Dentist | 1919 Seventh Ave. So., Birmingham, AL 35294-0001 | 2008-08-04 |
| 1528241742 | Chris Arris Jebeles | Dentist | 4647 Highway 280, Suite E, Birmingham, AL 35242-5089 | 2007-12-11 |
| 1659598183 | Kathy L. Jefferson | Dentist | 2112 14th Ave S, Birmingham, AL 35205-3902 | 2007-04-19 |
| 1578692372 | Dentist In Action | Dentist | 524 Red Lane Rd Ste F, Birmingham, AL 35215-8246 | 2007-03-05 |
| 1386772713 | Brown Franklin Kimbell Jr. | Dentist | 4518 Valleydale Rd, Suite 103, Birmingham, AL 35242-4658 | 2007-02-28 |
| 1942355045 | Steven C Rhodes | Dentist | Sdb 416, 1720 2nd Ave S, Birmingham, AL 35294-0007 | 2007-01-25 |
| 1588727416 | Endodontic Associates, P.C. | Dentist | 628 Gadsden Hwy, Suite 201, Birmingham, AL 35235-2565 | 2006-12-19 |
| 1841358793 | Madelyn Coar | Dentist | 1919 7th Ave S Sdb Box 58, Birmingham, AL 35294-0007 | 2006-12-04 |
| 1679662126 | James A. Smith Jr. | Dentist | 1500 20th St S, Birmingham, AL 35205-4916 | 2006-10-12 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35294 |
Please comment or provide details below to improve the information on DR. KEN R TILASHALSKI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.