SMART DENTAL HOLDINGS LLC (NPI# 1023615762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023615762 |
| Entity Type | Organization |
| Organization Name | SMART DENTAL HOLDINGS LLC |
| Practice Address |
4616 Montevallo Rd Ste 100 Irondale AL 35210-3104 |
| Mailing Address |
5751 Pocahontas Rd Ste A Bessemer AL 35022-5478 |
| Practice Telephone | 2059512191 |
| Practice Fax Number | 2059512191 |
| Mailing Telephone | 2054774242 |
| Mailing Fax Number | 2054774243 |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |
| Authorized Official Name | CHRISTIE KNIGHT (REVENUE CYCLE DIRECTOR) |
| Authorized Official Telephone | 2054774242 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Luma Dentistry Crestline | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | Smart Dental Holdings LLC | 5751 Pocahontas Road Suite A, Bessemer, AL 35022 |
| Street Address |
4616 MONTEVALLO RD STE 100 |
| City | IRONDALE |
| State | AL |
| Zip Code | 35210-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639712581 | Jordan Leigh Jackson | Counselor | 1914 5th Ave S, Irondale, AL 35210 | 2019-10-23 |
| 1689147068 | Greater Birmingham Transportation Services | Taxi | 5804 Oporto Madrid Blvd S, Birmingham, AL 35210 | 2019-01-08 |
| 1053802009 | Konda Keebler | Nurse Practitioner | 7001 Crestwood Blvd/suite 804, Birmingham, AL 35210 | 2018-05-25 |
| 1841675865 | Kolbe Clinic LLC | Counselor | 1830 Montclair Rd Ste A, Irondale, AL 35210 | 2015-07-21 |
| 1609270826 | Patricia Abrahan Ocampo | Occupational Therapist | 5000 Grantswood Rd Ste 220, Irondale, AL 35210 | 2014-10-17 |
| 1154766905 | John Charles Hammond | Psychiatry & Neurology | 4984 Overton Rd, Birmingham, AL 35210 | 2013-05-07 |
| 1073807871 | Farah Yasmeen Ghori-javed | Internal Medicine | 4500 Montevallo Rd Ste B101, Irondale, AL 35210 | 2011-06-09 |
| 1134459084 | Hospice Advantage, LLC. | Hospice Care, Community Based | 2435 1st Avenue South, Irondale, AL 35210 | 2009-12-28 |
| 1902063555 | Robert Lumpkin | Dentist | 7970 Crestwood Blvd, Irondale, AL 35210 | 2008-05-21 |
| 1205920725 | Stacey Shipman | Speech-Language Pathologist | 4778 Overton Road, Birmingham, AL 35210 | 2006-10-02 |
| Find all providers in zip 35210 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801095898 | Elizabeth Osborne Jackson | Dentist | 317 Rosewood St, Irondale, AL 35210-3116 | 2007-07-11 |
| 1356699250 | Joshua Ben Frazier | Dentist | 4500 Montevallo Rd Ste B105, Irondale, AL 35210-3128 | 2012-08-27 |
| 1962557199 | Michael Stanley Firth | Dentist | 4500 Montevallo Rd, Suite B105, Irondale, AL 35210-3129 | 2007-01-25 |
| 1720149859 | Irondale Dental PC | Dentist | 1811 2nd Ave N, Irondale, AL 35210-1107 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1669079943 | Diamond Dental Solutions | Dentist | 542 Mcqueen Smith Rd N, Prattville, AL 36066-5558 | 2020-10-08 |
| 1215548896 | Alexander Braden Plagenhoef | Dentist | 116 Watterson Pkwy, Trussville, AL 35173-2306 | 2020-08-16 |
| 1134739246 | Alabama Dental Professionals, P.C. | Dentist | 1200 20th St S Ste 202, Birmingham, AL 35205-3859 | 2020-08-04 |
| 1164030300 | Caleb Jeffery Hodges | Dentist | 16090 Us-72, Rogersville, AL 35652 | 2020-07-14 |
| 1346867389 | Smart Dental Holdings, LLC | Dentist | 925 Sharit Ave Ste 113, Gardendale, AL 35071-5001 | 2020-06-25 |
| 1396361341 | Noopur Shah | Dentist | 727 Stoneriver Dr, Birmingham, AL 35211-4560 | 2020-06-24 |
| 1336765650 | Lauren Brooke Cabaniss | Dentist | 22727 Al-25, Columbiana, AL 35051 | 2020-06-23 |
| 1144845264 | Elizabeth Anne Pickering | Dentist | 609 Golden Springs Rd, Anniston, AL 36207-6911 | 2020-06-15 |
| 1790300424 | Carter Mitchell | Dentist | 2850 Cahaba Rd Ste 140, Mountain Brk, AL 35223-2345 | 2020-06-09 |
| Find all providers with the same taxonomy | ||||
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| 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.