BIG WAVE DENTISTRY LLC (NPI# 1184251100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184251100 |
| Entity Type | Organization |
| Organization Name | BIG WAVE DENTISTRY LLC |
| Practice Address |
110 S Alston St Foley AL 36535-1912 |
| Mailing Address |
635 Glen Eagles Ave Gulf Shores AL 36542-9036 |
| Practice Telephone | 2512139820 |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |
| Authorized Official Name | DR. BRADLEY JOSHUA HILLMAN (DENTIST/OWNER) |
| Authorized Official Telephone | 5012317666 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | FFS | 1447789045 | 01 |
| Street Address |
110 S ALSTON ST |
| City | FOLEY |
| State | AL |
| Zip Code | 36535-1912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800273 | Symbol Health Solutions, L.lc. | Clinic/Center | 910 Vulcan St, Foley, AL 36535 | 2020-07-31 |
| 1437614245 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 2614 S. Mckenzie St., Foley, AL 36535 | 2019-02-06 |
| 1811471360 | Jenny Murphy Smith | Nurse Practitioner | 8158 State Hwy 59 #107, Foley, AL 36535 | 2018-09-20 |
| 1205337904 | Susan Denise Corbin | Social Worker | 623a West Laurel Aveune, Foley, AL 36535 | 2018-02-27 |
| 1841728904 | Candice Marie Osborne | Pharmacist | 2200 South Mckenzie Street, Foley, AL 36535 | 2017-06-01 |
| 1043760622 | Clay Dental | Dentist | 7801 Highway 59, Suite F, Foley, AL 36535 | 2016-10-07 |
| 1487063996 | Gulf Coast Specialty Pharmacy LLC | Pharmacy | 110-a East Azalea Ave, Foley, AL 36535 | 2014-08-08 |
| 1699180315 | Emerald Sands Medical Center | Clinic/Center | 8158 Us Hwy 59, Suite 107, Foley, AL 36535 | 2014-06-23 |
| 1134532807 | Allison Burgess | Nurse Practitioner | 8158 Us Highway 59, Suite 107, Foley, AL 36535 | 2014-06-10 |
| 1346675196 | Gary A. Eberly, Md PC | Pediatrics | 1090 E Laurel Ave., Foley, AL 36535 | 2013-09-12 |
| Find all providers in zip 36535 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407260771 | Alan M. Allgood Dmd, P.C. | Clinic/Center | 1350 N Mckenzie St, Foley, AL 36535-2232 | 2014-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192476 | Jacob L Turner Dmd PC | Clinic/Center | 100 A Andrew Street, Albertville, AL 35950 | 2020-10-23 |
| 1538775150 | Grants Mill Family Dentistry, LLC | Clinic/Center | 1024 Grants Mill Rd, Irondale, AL 35210-2108 | 2020-09-18 |
| 1164035341 | William M Colburn Dmd PC | Clinic/Center | 2810 20th Ave Ste A, Northport, AL 35476-3835 | 2020-08-26 |
| 1689295339 | Liles Family Dentistry, LLC | Clinic/Center | 2234 Ogletree Village Ln, Auburn, AL 36830-2967 | 2020-05-05 |
| 1952934226 | Red Mountain Pediatric Dentistry | Clinic/Center | 2836 Lakeshore Pkwy, Birmingham, AL 35211-5500 | 2020-02-14 |
| 1467085837 | Brooke Jordan Dds LLC | Clinic/Center | 101 Missionary Rdg Ste 101, Birmingham, AL 35242-5203 | 2020-02-13 |
| 1881225829 | Bell Road Dentistry LLC | Clinic/Center | 2642 Bell Rd, Montgomery, AL 36117-4375 | 2020-01-29 |
| 1477199511 | Kentros Dental LLC | Clinic/Center | [email protected], 1973 Chandalar Drive, Pelham, AL 35124 | 2019-11-25 |
| 1609417195 | Rocket City Dental | Clinic/Center | 112 Lily Flagg Rd Sw Ste B, Huntsville, AL 35802-3040 | 2019-10-05 |
| 1699316471 | Montgomery Aids Outreach, Inc. | Clinic/Center | 3052 Mcgehee Rd, Montgomery, AL 36111-2203 | 2019-10-03 |
| 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.