KNOLLWOOD DENTAL GROUP (NPI# 1245407436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245407436 |
| Entity Type | Organization |
| Organization Name | KNOLLWOOD DENTAL GROUP |
| Practice Address |
5612 Cottage Hill Rd Mobile AL 36609-4211 |
| Practice Telephone | 2516663982 |
| Mailing Telephone | 2516663982 |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |
| Authorized Official Name | KATIE MARSHALL (OFFICE MANAGER) |
| Authorized Official Telephone | 2516663982 |
| Authorized Official Credential | R.D.H. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
3028 | AL | Ambulatory Health Care Facilities |
| Street Address |
5612 COTTAGE HILL RD |
| City | MOBILE |
| State | AL |
| Zip Code | 36609-4211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043308414 | Donald Ellsworth Brown IIi | Dentist | 5612 Cottage Hill Rd, Mobile, AL 36609-4211 | 2006-10-11 |
| 1699863969 | Donald Ellsworth Brown Jr. | Dentist | 5612 Cottage Hill Rd, Mobile, AL 36609-4211 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698309 | Bhg Lxxii, LLC | Clinic/Center | 4373 Dowtowner Loop South, Suite A, Mobile, AL 36609 | 2020-10-26 |
| 1760036008 | Jesse David Schultz | Chiropractor | 3501 Montlimar Plaza Drive, Mobile, AL 36609 | 2019-07-25 |
| 1982267241 | Raqueal L. Williams | Registered Nurse | 406 Larose Dr., Mobile, AL 36609 | 2019-04-22 |
| 1588131924 | Angela Roney | Counselor | 705 Oak Circle Dr. East, Mobile, AL 36609 | 2018-10-24 |
| 1134617996 | Harley Michelle Oliver | Physician Assistant | 820 S. University Blvd Bldg 1, Suite 1b, Mobile, AL 36609 | 2018-04-27 |
| 1912420126 | Rural Urgent Care LLC | Clinic/Center | 6280 Grelot Road, Mobile, AL 36609 | 2017-07-19 |
| 1598128407 | Trisha Mcmillon | Counselor | 3929 Airport Blvd Ste 1-214, Mobile, AL 36609 | 2016-03-30 |
| 1437523347 | Sonya White D.d.s. PC | Dentist | 6309 Piccadilly Square Dr., Mobile, AL 36609 | 2015-11-17 |
| 1386913374 | Janis Marie Fausser | Pharmacist | 5705 Cottagehill Rd, Mobile, AL 36609 | 2011-12-20 |
| 1245524263 | Emily Chisholm | Physical Therapist | 1515 University Blvd. S., Mobile, AL 36609 | 2011-06-07 |
| Find all providers in zip 36609 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396208203 | Elizabeth Palmer Hill Dmd PC | Clinic/Center | 6154 Omni Park Dr, Mobile, AL 36609-5195 | 2019-04-08 |
| 1588122600 | Hillcrest Dental Care, LLC | Clinic/Center | 1100 Hillcrest Rd Ste A, Mobile, AL 36695-3919 | 2019-03-07 |
| 1558845560 | Willis Family Dentistry | Clinic/Center | 6217 Cottage Hill Rd, Mobile, AL 36609-3109 | 2018-09-17 |
| 1386032951 | Magnolia Dental Care PC | Clinic/Center | 720 Oak Circle Dr W Ste 400, Mobile, AL 36609-4252 | 2015-01-05 |
| 1699170712 | David Shane Welch Dmd PC | Clinic/Center | 6300 Airport Blvd Ste A, Mobile, AL 36608-3158 | 2014-10-31 |
| 1891809919 | Jon Bowie, D. M. D., P. C. | Clinic/Center | 4728 Airport Blvd, Suite A, Mobile, AL 36608-3170 | 2006-08-18 |
| 1356986517 | Midtown Dental Studio Pllc | Clinic/Center | 1754 Government St, Mobile, AL 36604-1111 | 2019-11-12 |
| 1427526516 | Ricciardone Family Dentistry | Clinic/Center | 5300 Overlook Rd, Mobile, AL 36618-2331 | 2018-11-06 |
| 1427560077 | Secd Spring Hill Mobile | Clinic/Center | 615 Shady Oak Dr, Mobile, AL 36608-5830 | 2017-11-03 |
| 1982116943 | Secd Midtown Mobile | Clinic/Center | 1754 Government St, Mobile, AL 36604-1111 | 2017-10-31 |
| Find all providers in MOBILE | ||||
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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.