DENTISTRY FOR AWESOME KIDS (NPI# 1124565676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124565676 |
| Entity Type | Organization |
| Organization Name | DENTISTRY FOR AWESOME KIDS |
| Practice Address |
623 8th Ave W Birmingham AL 35204-3604 |
| Practice Telephone | 3345050891 |
| Mailing Telephone | 3345050891 |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2017-01-23 |
| Authorized Official Name | LAUTEN JOHNSON (GENERAL DENTIST) |
| Authorized Official Telephone | 2054470202 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 1114368800 | 05 | |
| AL | 1992970545 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | Dentistry for Awesome Kids, LLC | 2090 Columbiana Road, Suite 2000, Birmingham, AL 35216 |
| Street Address |
623 8TH AVE W |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35204-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427514199 | Cahaba Medical Care Foundation | Clinic/Center | 623 8th Ave W, Birmingham, AL 35204-3604 | 2019-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922146810 | Aletheia House | Substance Abuse Rehabilitation Facility | 201 Finley Ave W, Birmingham, AL 35204-1047 | 2007-02-02 |
| 1295393502 | Deborah Ann Bowers | Nurse Practitioner | 1308 26th Ave N, Birmingham, AL 35204-1118 | 2019-06-01 |
| 1740741511 | Tina M Smith | Registered Nurse | 1562 6th St N, Birmingham, AL 35204-2220 | 2019-03-26 |
| 1194028431 | Jimmie Walker Jr. | Dentist | 15 11th Ct N, Birmingham, AL 35204-2303 | 2010-12-08 |
| 1700832870 | Oak Knoll Health and Rehabilitation, LLC | Skilled Nursing Facility | 824 6th Ave W, Birmingham, AL 35204-3402 | 2006-05-26 |
| 1346660487 | Dr Doctor Disc Injury and Spinal Care Clinic PC | Clinic/Center | 1117 7th Ave W, Birmingham, AL 35204-3408 | 2014-04-16 |
| 1841760980 | Ronnika Jones | Massage Therapist | 715 8th Ter W, Birmingham, AL 35204-3525 | 2018-12-02 |
| 1578796496 | Community Presbyterian Center | Voluntary or Charitable | 421 Reverend Abraham Woods Jr Blvd, Bruno-smithfield Communty Health Center, Birmingham, AL 35204-3715 | 2009-08-26 |
| 1316164080 | Shawn Y Burl | Dentist | 139 3rd Ave W, Birmingham, AL 35204-4114 | 2007-04-20 |
| 1447815931 | Dr. Shawn Burl, Inc. | Durable Medical Equipment & Medical Supplies | 139 3rd Ave W, Birmingham, AL 35204-4114 | 2019-05-09 |
| Find all providers in zip 35204 | ||||
| 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 |
|---|---|---|---|---|
| 1134739246 | Alabama Dental Professionals, P.C. | Dentist | 1200 20th St S Ste 202, Birmingham, AL 35205-3859 | 2020-08-04 |
| 1396361341 | Noopur Shah | Dentist | 727 Stoneriver Dr, Birmingham, AL 35211-4560 | 2020-06-24 |
| 1396366134 | Daniel Arthur Petersen | Dentist | 3350 Altamont Rd S Apt B12, Birmingham, AL 35205-2192 | 2020-05-04 |
| 1437790722 | Heath Bryan Coleman, Dds of Alabama, LLC | Dentist | 5024 Pinnacle Sq Ste 116, Birmingham, AL 35235-3176 | 2019-10-08 |
| 1295393106 | Ac Dentistry | Dentist | 7350 Cahaba Valley Rd Ste 106, Birmingham, AL 35242-6318 | 2019-06-05 |
| 1356818462 | Sergio Daniel Loubriel | Dentist | 1908 Springfield Loop W, Birmingham, AL 35242-5130 | 2018-10-26 |
| 1528577129 | Genesis Dental Group Homewood P.C. | Dentist | 2045 Brookwood Medical Ctr Dr Ste 4, Birmingham, AL 35209-6809 | 2017-09-26 |
| 1306291711 | Melissa Santos Perez | Dentist | 1820 Gadsden Hwy Ste 112, Birmingham, AL 35235 | 2016-05-04 |
| 1326434671 | M. Austin Boyd Dmd PC | Dentist | 5891 Valley Rd, Birmingham, AL 35235-8693 | 2015-04-14 |
| 1942693296 | Dr. Burton Gooch | Dentist | 6807 Tattersal Way, Birmingham, AL 35242-4237 | 2015-03-11 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35204 |
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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.