HUNTSVILLE WEST DENTAL, PC (NPI# 1063900819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063900819 |
| Entity Type | Organization |
| Organization Name | HUNTSVILLE WEST DENTAL, PC |
| Practice Address |
4710 University Dr Nw Ste L Huntsville AL 35816-3408 |
| Mailing Address |
312 Delbourne Ln Greer SC 29651-7196 |
| Practice Telephone | 8435575396 |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | CHRISTOPHER CHARLES (OPERATING MANAGER) |
| Authorized Official Telephone | 8435575396 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
4710 UNIVERSITY DR NW STE L |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35816-3408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068076 | Sarah Jean | Nurse Practitioner | 1610 Ben Graves Drive Nw, Huntsville, AL 35816 | 2020-03-13 |
| 1629553482 | Journey To New Beginnings | Social Worker | 2901 Fairbanks Drive, Huntsville, AL 35816 | 2018-09-27 |
| 1588173611 | Melissa Anne Carter | Registered Nurse | 4820 University Sq, Huntsville, AL 35816 | 2017-09-20 |
| 1902335326 | Matthew Gallien | Massage Therapist | 1200 Jordan Lane Suite 2, Huntsville, AL 35816 | 2017-06-08 |
| 1891242962 | Advantage Health Solutions,llc | Family Medicine | 4820 University Dr Ste 35, Huntsville, AL 35816 | 2016-09-07 |
| 1396291027 | Advantage Health Solutions,llc | Family Medicine | 4820 University Dr Ste 18, Huntsville, AL 35816 | 2016-09-01 |
| 1861726085 | Earl Williams | Massage Therapist | 4920 University Square, Suite D, Huntsville, AL 35816 | 2009-09-21 |
| 1114106234 | James Kennedy Olszewski | Chiropractor | 2417 Jordan Ln., Huntsville, AL 35816 | 2007-10-25 |
| 1932293180 | Jacquelyn Olivia Collins | Optometrist | 4925 University Drive Nw, Suite 102, Huntsville, AL 35816 | 2006-10-03 |
| 1912006735 | American Family Care, Inc. | General Practice | 4550 University Drive, Huntsville, AL 35816 | 2006-09-21 |
| Find all providers in zip 35816 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609417195 | Rocket City Dental | Clinic/Center | 112 Lily Flagg Rd Sw Ste B, Huntsville, AL 35802-3040 | 2019-10-05 |
| 1891359725 | Huntsville Family Dental | Clinic/Center | 3301 Collard Rd, Huntsville, TX 77340-6418 | 2019-04-25 |
| 1467938555 | Dan M. Luther, Dmd, PC | Clinic/Center | 2305 Whitesburg Dr Se, Huntsville, AL 35801-3819 | 2018-07-12 |
| 1497248975 | Redstone Dental | Clinic/Center | 2288 Zierdt Rd, F, Huntsville, AL 35824 | 2018-06-11 |
| 1407279722 | Dental Professionals On Whitesburg | Clinic/Center | 8315 Whitesburg Dr Se, Huntsville, AL 35802-3007 | 2014-01-22 |
| 1982950036 | Tyson Dental, Inc | Clinic/Center | 1410 Paramount Dr Ste A, Huntsville, AL 35806-3010 | 2012-07-26 |
| 1710241724 | North Alabama Prosthodontics, P.C. | Clinic/Center | 807 Regal Dr Sw, Huntsville, AL 35801-5604 | 2012-06-25 |
| 1205454105 | Ld Huntsville LLC | Clinic/Center | 4240 Balmoral Dr Sw Ste 200, Huntsville, AL 35801-5633 | 2020-07-08 |
| 1427699917 | Lily Flagg Dentistry | Clinic/Center | 112 Lily Flagg Rd Sw Ste A, Huntsville, AL 35802-3040 | 2019-10-05 |
| 1356853733 | Dr.roy Mccray | Clinic/Center | 2510 Pulaski Pike Nw, Huntsville, AL 35810-3746 | 2017-10-25 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35816 |
Please comment or provide details below to improve the information on HUNTSVILLE WEST DENTAL, PC.
| 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.