GENERAL FAMILY DENTISTRY (NPI# 1235383019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235383019 |
Entity Type | Organization |
Organization Name | GENERAL FAMILY DENTISTRY |
Practice Address |
108 W Point St Roanoke AL 36274-1686 |
Practice Telephone | 3348634514 |
Practice Fax Number | 3348634470 |
Mailing Telephone | 3348634514 |
Mailing Fax Number | 3348634470 |
Enumeration Date | 2008-11-06 |
Last Update Date | 2009-04-28 |
Authorized Official Name | DR. JAMES A TYRER III (DENTIST/OWNER) |
Authorized Official Telephone | 7068820094 |
Authorized Official Credential | DMD |
Is Organization Subpart | Y |
Parent Organization Name | COSMETIC AND RESTORATIVE GENERAL DENTISTRY |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
5533 | AL | Ambulatory Health Care Facilities |
Street Address |
108 W POINT ST |
City | ROANOKE |
State | AL |
Zip Code | 36274-1686 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144520446 | Eagle Drugs LLC | Pharmacy | 3705 Hwy 431, Roanoke, AL 36274 | 2010-11-02 |
1538498431 | Harriet Elizabeth Chappell | Nurse Practitioner | 1026 Lafayette Parkway, Roanoke, AL 36274 | 2009-12-24 |
1194917096 | William Robert Dixson | Pharmacist | 4108 United States Highway 431, Roanoke, AL 36274 | 2007-08-14 |
1841416542 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 935 Hwy 431, Suite 3, Roanoke, AL 36274 | 2007-04-18 |
1144322504 | Russell D Peterson | Family Medicine | 965 Us Hwy 431, Roanoke, AL 36274 | 2006-09-05 |
1104003987 | Randolph Medical Associates | Spec/Tech, Cardiovascular | 965 Us Hwy 431, Roanoke, AL 36274 | 2008-01-24 |
1497815120 | Randolph Medical Associates, PC | Family Medicine | 965 Us Hwy 431, Roanoke, AL 36274 | 2006-12-11 |
1417023987 | State of Alabama Department of Public Health | Home Health | 320 Main Street, Roanoke, AL 36274 | 2006-11-28 |
1841379617 | State of Alabama Department of Public Health | Home Health | 320 Main Street, Roanoke, AL 36274 | 2006-11-03 |
1568545382 | State of Alabama Department of Public Health | Home Health | 320 Main Street, Roanoke, AL 36274 | 2006-10-23 |
Find all providers in zip 36274 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124514203 | R. Douglas Ross, Dds PC | Clinic/Center | 1602 Grandin Rd Sw, Roanoke, VA 24015-2308 | 2018-07-02 |
1912414251 | 6 Day Dental Group - Roanoke, Pllc | Clinic/Center | 200 Tx-114, Roanoke, TX 76262 | 2018-01-09 |
1780932277 | Harvey Dentistry Nrke | Clinic/Center | 5049 Valley View Blvd Nw Ste C, Roanoke, VA 24012-2075 | 2012-08-15 |
1013575661 | Irby Dentistry | Clinic/Center | 3501 Franklin Rd Sw, Roanoke, VA 24014-2201 | 2019-05-30 |
1659844538 | Kfd Virginia Inc | Clinic/Center | 4903 Starkey Rd Ste 300, Roanoke, VA 24018-8525 | 2019-01-03 |
1114399276 | Carilion Medical Center | Clinic/Center | 2017 Jefferson St Sw, Roanoke, VA 24014-2419 | 2015-10-28 |
1700287596 | Kuumba Health and Wellness Center | Clinic/Center | 3716 Melrose Ave Nw, Roanoke, VA 24017-2716 | 2014-09-11 |
1144641309 | Commonwealth Dental Clinic | Clinic/Center | 1121 S Jefferson St, Roanoke, VA 24016-4703 | 2013-12-13 |
1578851002 | Young C. Park, Dds., PC | Clinic/Center | 623 Abney Rd, Roanoke, VA 24012-1257 | 2011-07-19 |
1205840956 | Carilion Medical Center | Clinic/Center | 2017 Jefferson St Sw, 2nd Floor, Roanoke, VA 24014-2419 | 2006-07-28 |
Find all providers in ROANOKE |
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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.