DR. SOHROB SOTOUDEHNIA (NPI# 1326232620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326232620 |
| Entity Type | Individual |
| Full Name | DR. SOHROB SOTOUDEHNIA |
| Credential | DMD |
| Practice Address |
12090 County Line Rd Suite L Madison AL 35756-2001 |
| Practice Telephone | 2562322220 |
| Mailing Telephone | 2562322220 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2008-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5594 | AL | Dental Providers |
| Street Address |
12090 COUNTY LINE RD SUITE L |
| City | MADISON |
| State | AL |
| Zip Code | 35756-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669558292 | William Wesley Cobb | Optometrist | 12090 County Line Rd, Suite O, Madison, AL 35756-2001 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386191914 | Jennifer Ryder | Nurse Practitioner | 8 Ross Street, Madison, AL 35756 | 2016-09-01 |
| 1700256252 | Community Urgent Care of Madison, Inc | Family Medicine | 30694 Highway 72, Suite E, Madison, AL 35756 | 2015-09-28 |
| 1609271220 | Corner Crossing LLC | Pharmacy | 30694 Highway 72 West, Suite A, Huntsville, AL 35756 | 2014-10-24 |
| 1881941482 | Darleen Rebecca Morris | Physical Therapist | 12110 County Line Rd Ste B, Madison, AL 35756 | 2012-08-14 |
| 1528125622 | Mary Bryant | Physical Therapist | 30630 Hwy 72 West, Madison, AL 35756 | 2007-01-02 |
| 1689730194 | Mayra H Blanche | Occupational Therapist | 30630 Hwy. 72 West, Madison, AL 35756 | 2006-12-29 |
| 1952357907 | Giles Henry Vaden | Counselor | 140 Fields Pond Drive, Madison, AL 35756 | 2006-05-25 |
| 1881816023 | Heather Grogan | Occupational Therapist | 30630 Hwy. 72 West, Madison, AL 35756 | 2007-05-03 |
| 1255498358 | Judy Hawke | Physical Therapist | 30630 Hwy. 72 West, Madison, AL 35756 | 2007-01-02 |
| 1700943800 | Bryan Brazelle | Physical Therapist | 30630 Hwy 72 West, Madison, AL 35756 | 2007-01-02 |
| Find all providers in zip 35756 | ||||
| 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 |
|---|---|---|---|---|
| 1700496007 | Elizabeth R Friend | Dentist | 440 Science Dr Ste 100, Madison, WI 53711-1064 | 2020-08-03 |
| 1841817657 | Kimberly Nicole Lee | Dentist | 105 Broadmoor Dr, Madison, MS 39110-6651 | 2020-06-26 |
| 1831713213 | Scarlett La'ree Johnson | Dentist | 155 Millhouse Dr, Madison, MS 39110-6964 | 2020-06-02 |
| 1447899653 | Say Ahh Family and Cosmetic Dentistry LLC | Dentist | 7559 Highway 72 W Ste 105a105b, Madison, AL 35758-8811 | 2020-01-06 |
| 1982245395 | Treehouse Children's Dentistry, LLC | Dentist | 7559 Highway 72 W Ste 108, Madison, AL 35758-8816 | 2019-10-07 |
| 1205480423 | Abtin Iranmanesh | Dentist | 7564 Highway 72 W Ste C, Madison, AL 35758-9437 | 2019-07-25 |
| 1396238226 | Nathalie M Gomez-leon | Dentist | 7278 Highway 72 W Ste A, Madison, AL 35758-9551 | 2018-06-14 |
| 1164915518 | Lauren Faustmann | Dentist | 20 Hughes Rd # 104, Madison, AL 35758-2237 | 2018-06-11 |
| 1669963518 | Fahad Al-fadhli | Dentist | 109 Sycamore Rdg, Madison, MS 39110-7333 | 2018-05-27 |
| 1346752441 | Pignataro Family Dentistry, PC | Dentist | 7950 Highway 72 W Ste F, Madison, AL 35758-6420 | 2017-10-30 |
| Find all providers in MADISON | ||||
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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.