ALABAMA DENTAL PROFESSIONALS, PC (NPI# 1265805550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265805550 |
| Entity Type | Organization |
| Organization Name | ALABAMA DENTAL PROFESSIONALS, PC |
| Other Organization Name | PRATTVILLE DENTAL CARE |
| Practice Address |
2489 Cobbs Ford Road Prattville AL 36066 |
| Practice Telephone | 3346518695 |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2015-11-09 |
| Authorized Official Name | KENDRA WALKER (CREDENTIALING TEAM LEAD) |
| Authorized Official Telephone | 2175408312 |
| Is Organization Subpart | Y |
| Parent Organization Name | ALABAMA DENTAL PROFESSIONALS, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Prattville Dental Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528585932 | Alabama Dental Professionals, PC | Dentist | 7666 Highway 72 W, Madison, AL 35758 | 2017-08-25 |
| 1891219432 | Alabama Dental Professionals, PC | Dentist | 9100 Highway 119, Alabaster, AL 35007 | 2017-07-26 |
| 1023415254 | Alabama Dental Professionals, PC | Dentist | 4210 Alabama Highway, Millbrook, AL 36054 | 2014-12-03 |
| 1013249242 | Alabama Dental Professionals, PC | Dentist | 110 College St., Suite D, Athens, AL 35611 | 2010-02-14 |
| 1841414182 | Alabama Dental Professionals, PC | Dentist | 2560 Bell Rd, Montgomery, AL 36117 | 2007-04-11 |
| Street Address |
2489 COBBS FORD ROAD |
| City | PRATTVILLE |
| State | AL |
| Zip Code | 36066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053856591 | Camellia Hospice of South Alabama, LLC | Hospice Care, Community Based | 1807 Station Dr Ste B, Prattville, AL 36066 | 2016-12-19 |
| 1407243645 | Drayer Physical Therapy-alabama, LLC | Physical Therapist | 2703 Legends Parkway, Prattville, AL 36066 | 2015-04-24 |
| 1225396203 | Kristin Taylor | Occupational Therapist | 635 Mcqueen Smith Road, Suite D, Prattville, AL 36066 | 2012-04-27 |
| 1164796959 | Glynwood Park Dental Care | Dentist | 1831 Glynwood Drive, Prattville, AL 36066 | 2012-02-27 |
| 1790068757 | Jason Duane Weaver | Physical Therapist | 1824 Glynwood Drive, Prattville, AL 36066 | 2011-09-26 |
| 1982931499 | Health Star Inc | Chiropractor | 2441 Cobbs Ford Road, Prattville, AL 36066 | 2009-11-05 |
| 1023101698 | Drs. Tatum and Walker, L.L.C. | Dentist | 597 South Memorial Drive, Prattville, AL 36066 | 2006-10-02 |
| 1730290693 | Shalini Goswami | Internal Medicine | 1294 E Main St, Prattville, AL 36066 | 2006-08-31 |
| 1407860380 | Robert Allen Avery | Internal Medicine | 645 Mcqueen Smith Rd N Ste 207, Prattville, AL 36066 | 2006-07-28 |
| 1689695488 | John B Malion Sr. | Chiropractor | 166 N Memorial Dr, Prattville, AL 36066 | 2006-07-21 |
| Find all providers in zip 36066 | ||||
| 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 |
|---|---|---|---|---|
| 1669079943 | Diamond Dental Solutions | Dentist | 542 Mcqueen Smith Rd N, Prattville, AL 36066-5558 | 2020-10-08 |
| 1700400652 | Brandon Craig Veach | Dentist | 1831 Glynwood Dr, Prattville, AL 36066-5584 | 2020-06-05 |
| 1629549811 | New Beginnings Dental LLC | Dentist | 2481 Pinnacle Way, Prattville, AL 36066-6543 | 2018-12-16 |
| 1235471426 | Autauga Station Dental, P.C. | Dentist | 1803 Station Dr, Suite A, Prattville, AL 36066-5668 | 2013-03-26 |
| 1164796959 | Glynwood Park Dental Care | Dentist | 1831 Glynwood Drive, Prattville, AL 36066 | 2012-02-27 |
| 1609183979 | Robert Nathan Fife Jr. | Dentist | 1783 E Main St, Prattville, AL 36066-5562 | 2010-09-08 |
| 1548433329 | Kim P. Kornegay, Dmd | Dentist | 711 Kornegay Dr, Suite A, Prattville, AL 36066-7715 | 2008-04-11 |
| 1255501458 | Edwin R. Mullins | Dentist | 268 1st St., Prattville, AL 36067 | 2008-03-04 |
| 1295945772 | Charles S Tatum | Dentist | 597 S Memorial Dr, Prattville, AL 36067-3630 | 2007-05-23 |
| 1558489245 | Paul Dewitt Ellzey | Dentist | 1101 E Main St, Prattville, AL 36066-5625 | 2007-03-27 |
| Find all providers in PRATTVILLE | ||||
| City | PRATTVILLE |
| Zip Code | 36066 |
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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.