REUBEN MOYANA DMD, PC (NPI# 1235682535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235682535 |
| Entity Type | Organization |
| Organization Name | REUBEN MOYANA DMD, PC |
| Other Organization Name | FORT MITCHELL DENTISTRY |
| Practice Address |
1095 Highway 165 Suite D Fort Mitchell AL 36856 |
| Mailing Address |
129 Lee Road 2200 Smiths Station AL 36877-3388 |
| Practice Telephone | 3348553300 |
| Mailing Telephone | 3348553300 |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-08-03 |
| Authorized Official Name | DR. REUBEN TAFADZWA MOYANA (PRESIDENT) |
| Authorized Official Telephone | 3348553300 |
| Authorized Official Credential | D.M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
5344 | AL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fort Mitchell Dentistry | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | REUBEN MOYANA DMD, PC | 1095 Hwy 165 Ste D, Fort Mitchell, AL 36856-5244 |
| Alabama Business Registrations | Reuben Moyana DMD, PC | 1095 Highway 165, Fort Mitchell, AL 36856 |
| Street Address |
1095 HIGHWAY 165 SUITE D |
| City | FORT MITCHELL |
| State | AL |
| Zip Code | 36856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699241968 | Missy Marie Cummings | Nurse Practitioner | 9 Winter Hawk Ln, Fort Mitchell, AL 36856 | 2018-10-15 |
| 1518337146 | William E Maben | Counselor | 16 Paladian Way, Fort Mitchell, AL 36856-2803 | 2015-09-24 |
| 1033626056 | Sydnie Myrell Davis | Behavioral Analyst | 454 Highway 165, Fort Mitchell, AL 36856-4303 | 2017-12-30 |
| 1447802772 | Tiara Lawson | Obstetrics & Gynecology | 825 Highway 165 Unit 580, Fort Mitchell, AL 36856-4401 | 2019-07-16 |
| 1568748242 | Fort Mitchell Clinic PC | Anesthesiology | 2 Gilmore Rd, Ft Mitchell, AL 36856-4411 | 2011-10-26 |
| 1376097527 | Felicia Tramuel | Contractor | 20 Sweetwater Park Loop, Fort Mitchell, AL 36856-5176 | 2016-08-04 |
| 1538321310 | Judy Kay Tunnell | Registered Nurse | 198 Owens Rd, Fort Mitchell, AL 36856-5514 | 2008-07-02 |
| 1891312062 | Benita Tonti | Counselor | 287 Owens Rd, Fort Mitchell, AL 36856-5533 | 2020-07-02 |
| 1477939692 | Tammy Polite | Licensed Practical Nurse | 105 Seminole Trl, Fort Mitchell, AL 36856-6801 | 2015-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809033 | Lauren Elizabeth Tobler | Nurse Practitioner | 32 Burdsall Ave, Fort Mitchell, KY 41017-2802 | 2020-10-20 |
| 1932726775 | Benchmark Physical Therapy of Ky LLC | Occupational Therapist | 2501 Dixie Hwy Ste 8, Fort Mitchell, KY 41017-3097 | 2020-06-27 |
| 1548894504 | Christopher Collin Herb | Specialist/Technologist | 43 Burdsall Ave, Fort Mitchell, KY 41017-2801 | 2020-02-28 |
| 1649817313 | Core Health Center of Fort Mitchell LLC | Chiropractor | 2220 Grandview Dr Ste 110, Fort Mitchell, KY 41017-1661 | 2019-12-02 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1467938209 | Katherine Melillo | Speech-Language Pathologist | 20 Thompson Ave, Fort Mitchell, KY 41017-2709 | 2018-07-16 |
| 1265932248 | Kimberly Dawn Lightner | Massage Therapist | 2230 Grandview Dr, Fort Mitchell, KY 41017-1643 | 2018-02-16 |
| 1821505421 | Allison Konen | Nurse Practitioner | 2220 Grandview Dr Ste 170, Fort Mitchell, KY 41017-1661 | 2018-01-04 |
| 1033623376 | Lori Beth Mangan | Social Worker | 292 Rampart Ct Apt 116, Fort Mitchell, KY 41017-5616 | 2017-11-22 |
| 1356899751 | Beechwood Board of Education | Local Education Agency (LEA) | 50 Beechwood Rd, Fort Mitchell, KY 41017-2716 | 2016-09-14 |
| Find all providers in FORT MITCHELL | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| 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 |
| 1184251100 | Big Wave Dentistry LLC | Clinic/Center | 110 S Alston St, Foley, AL 36535-1912 | 2020-03-27 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | FORT MITCHELL |
| Zip Code | 36856 |
Please comment or provide details below to improve the information on REUBEN MOYANA DMD, 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.