DR. CHARLES RANDLE DILLARD JR. (NPI# 1326163809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326163809 |
| Entity Type | Individual |
| Full Name | DR. CHARLES RANDLE DILLARD JR. |
| Credential | DMD |
| Practice Address |
4330 Highway 78 E Suite 200 Jasper AL 35501-8905 |
| Practice Telephone | 2022952992 |
| Practice Fax Number | 2053841291 |
| Mailing Telephone | 2022952992 |
| Mailing Fax Number | 2053841291 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
4917 | AL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386852028 | Charles Dillard | Physical Medicine & Rehabilitation | 400 Gresham Dr Ste 800, Norfolk, VA 23507 | 2007-05-18 |
| 1346251725 | Charles O Dillard | Internal Medicine | 2450 Kipling Ave, Suite 108, Cincinnati, OH 45239-6600 | 2006-08-10 |
| Street Address |
4330 HIGHWAY 78 E SUITE 200 |
| City | JASPER |
| State | AL |
| Zip Code | 35501-8905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720088743 | Jean P Donahue | Dermatology | 4330 Highway 78 E, Suite 105, Jasper, AL 35501-8905 | 2005-08-01 |
| 1447879101 | Kelley Health Hospice | Hospice Care, Community Based | 4330 Highway 78 E, Jasper, AL 35501-8905 | 2020-04-13 |
| 1396993689 | Jeffrey Dale Boyles | Physical Therapist | 4330 Highway 78 E, Suite 208, Jasper, AL 35501-8905 | 2008-08-29 |
| 1669686713 | Lory Carlisle Avsar | Dentist | 4330 Highway 78 E, Suite 122, Jasper, AL 35501-8905 | 2007-05-09 |
| 1164555967 | Katrina Carol White | Dentist | 4330 Highway 78 E, Suite 121, Jasper, AL 35501-8905 | 2007-03-13 |
| 1649303355 | Jasper Pediatric Dentistry, LLC | Dentist | 4330 Highway 78 E, Suite 121, Jasper, AL 35501-8905 | 2007-03-13 |
| 1194882969 | Southeast Hospice Network, LLC | Hospice Care, Community Based | 4330 Highway 78 E, Suite 120-121, Jasper, AL 35501-8905 | 2007-01-02 |
| 1629134895 | Rebecca Black | Speech-Language Pathologist | 4330 Highway 78 E, Suite 118, Jasper, AL 35501-8905 | 2006-12-29 |
| 1871659045 | Rodney J. Higginbotham | Occupational Therapist | 4330 Highway 78 E, Suite 208, Jasper, AL 35501-8905 | 2006-12-29 |
| 1962568154 | Wendy Morrison | Physical Therapist | 4330 Highway 78 E, Suite 118, Jasper, AL 35501-8905 | 2006-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194209650 | Ansley Parnell Allen | Dentist | 1208 Highway 78 East, Jasper, AL 35501 | 2018-09-20 |
| 1437659265 | A Calling Consulting and Wellness Center, LLC | Social Worker | 300 18th St West, Suite 101, Jasper, AL 35501 | 2018-02-19 |
| 1902315591 | Lucretia Fountain | Pharmacist | 1640 Hwy 78 East, Jasper, AL 35501 | 2017-09-26 |
| 1356708465 | Veterans Admistration | Clinic/Center | 1454 Jones Dairy Road, Jasper, AL 35501 | 2016-01-20 |
| 1104233717 | Garrison Stephen Cowen | Obstetrics & Gynecology | 701 East 19th Street, Jasper, AL 35501 | 2014-07-15 |
| 1700291903 | Jennifer Leah Neighbors Beasley | Internal Medicine | 1450 Jones Dairy Rd Ste 500, Jasper, AL 35501 | 2014-06-25 |
| 1841568391 | Gloria Jean Farris | Nurse Practitioner | 300 Cherokee Circle, Jasper, AL 35501 | 2011-12-12 |
| 1013205970 | Daniel Jason Morris | Orthopaedic Surgery | 1446 Jones Dairy Rd Ste 100, Jasper, AL 35501 | 2011-07-13 |
| 1417150954 | East Point Pharmacy, LLC | Pharmacy | 1442 Jones Dairy Rd., Jasper, AL 35501 | 2007-06-11 |
| 1275754210 | Karen Denise Veitch | Pharmacist | 2405 Us Hwy 78 East, Jasper, AL 35501 | 2007-05-01 |
| Find all providers in zip 35501 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033764394 | James P. Hannahan, D.m.d., P.C. | Dentist | 2200 Gateway Dr Ste Aa, Opelika, AL 36801-6884 | 2019-08-05 |
| 1922567692 | Hannahan Endodontic Group | Dentist | 3602b Old Shell Rd, Mobile, AL 36608-1307 | 2019-03-13 |
| 1720482417 | Timothy A. Kerper, D.m.d., P.C. | Dentist | 626a Leighton Ave, Anniston, AL 36207-5744 | 2014-10-09 |
| 1700209574 | Denton Dental of Atmore PC Dba Save-on Dental Care of Atmore | Dentist | 109 7th Ave, Atmore, AL 36502-2601 | 2014-01-29 |
| 1114264629 | Joan-marie Shanahan Manolakis | Dentist | 508 Georgian Dr, Mobile, AL 36609-3432 | 2013-01-04 |
| 1417235235 | Jess Fowler Havron | Dentist | 8154 Highway 59, Suite 203, Foley, AL 36535 | 2011-07-27 |
| 1699079772 | Dr. Ronald L. Dichiara Dmd PC | Dentist | 2040 Patton Chapel Rd Ste 100, Hoover, AL 35216-0701 | 2011-01-04 |
| 1417283680 | Kristina Michelle Hopkins | Dentist | 4500 Montevallo Road, Suite B105, Birmingham, AL 35210-3128 | 2009-10-23 |
| 1497901219 | Cullman Endodontics PC | Dentist | 1965 Al Highway 157 Ste A, Cullman, AL 35058-0672 | 2008-08-12 |
| 1609032192 | Robert Durham Barfield | Dentist | 1919 Seventh Ave. So., Birmingham, AL 35294-0001 | 2008-08-04 |
| 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.