BIRMINGHAM PEDIATRIC DENTAL CARE ASSOCIATES (NPI# 1366620155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366620155 |
| Entity Type | Organization |
| Organization Name | BIRMINGHAM PEDIATRIC DENTAL CARE ASSOCIATES |
| Practice Address |
1613 11th Ave S Birmingham AL 35205-4703 |
| Practice Telephone | 2059331363 |
| Practice Fax Number | 2059331365 |
| Mailing Telephone | 2059331363 |
| Mailing Fax Number | 2059331365 |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-02-05 |
| Authorized Official Name | DR. FREDERICK B SMITH (PRESIDENT) |
| Authorized Official Telephone | 2059331363 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
2693 | AL | Dental Providers |
| Street Address |
1613 11TH AVE S |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35205-4703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295835338 | Frederick B Smith | Dentist | 1613 11th Ave S, Birmingham, AL 35205-4703 | 2006-09-25 |
| 1952774945 | Pediatric Dental Associates of Birmingham, LLC | Dentist | 1613 11th Ave S, Birmingham, AL 35205-4703 | 2015-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124547674 | Serve Home Health Care Agency, LLC | In Home Supportive Care | 2230 Green Springs Hwy S, Birmingham, AL 35205 | 2017-09-15 |
| 1457870487 | Marilyn Bennett Pinson | Pharmacist | Walgreens Store #15144, 3020 Clairmont Ave S, Birmingham, AL 35205 | 2017-09-11 |
| 1639522238 | Dana Rives | Speech-Language Pathologist | St. Vincent's, Building 3, Suite 402, Birmingham, AL 35205 | 2016-07-19 |
| 1760854236 | Raymond Herring | Chiropractor | 1226 29th St S, Apt 18, Birmingham, AL 35205 | 2015-10-23 |
| 1083005813 | Absolutely Amazing Salon | Prosthetic/Orthotic Supplier | 2227 Arlington Avenue, Birmingham, AL 35205 | 2015-02-16 |
| 1396141651 | Alexandria Hutchison | Occupational Therapist | 833 Saint Vincent's Drive, Building 3, Suite 200, Birmingham, AL 35205 | 2014-11-14 |
| 1790028199 | Patrick Ross Owens | Otolaryngology | 833 Saint Vincents Dr Ste 402, Birmingham, AL 35205 | 2013-04-03 |
| 1053657452 | David Mitchell Comfort | Urology | 2716 Hanover Circle, Unit 801, Birmingham, AL 35205 | 2012-12-13 |
| 1598023632 | Kathryn Ashley Bentley | Orthopaedic Surgery | 833 St. Vincent's Drive, Bldg 3, Ste 403, Birmingham, AL 35205 | 2012-04-26 |
| 1114298510 | Natalie Elizabeth George | Physician Assistant | 2100 16th Avenue South, 202, Birmingham, AL 35205 | 2012-01-18 |
| Find all providers in zip 35205 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134336480 | Sory Shannon | Dentist | 5113 Cyrus Cir, Birmingham, AL 35242-4631 | 2007-05-17 |
| 1225150782 | Joby Lee Hurst | Dentist | 2894 Acton Rd, Birmingham, AL 35243-2502 | 2007-04-04 |
| 1811059124 | John Bernard Thornton | Dentist | Uab School of Dentistry, 1919 7th Ave. So., Birmingham, AL 35294-0001 | 2006-12-14 |
| 1639251713 | Michael King Vann II | Dentist | 1808 Gadsden Hwy Ste 134, Birmingham, AL 35235-3140 | 2006-10-19 |
| 1932299013 | Stephanie H Steinmetz | Dentist | 521 Montgomery Hwy Ste 125, Birmingham, AL 35216-1877 | 2006-10-13 |
| 1295835338 | Frederick B Smith | Dentist | 1613 11th Ave S, Birmingham, AL 35205-4703 | 2006-09-25 |
| 1730297276 | Kimberly Rosser Carr | Dentist | 1801 14th Ave S, Birmingham, AL 35205-4931 | 2006-08-25 |
| 1578678645 | Donald William Englebert | Dentist | 2114 10th Ave S, Birmingham, AL 35205-2712 | 2006-08-20 |
| 1336157759 | Jerry Lee Parker | Dentist | 1263 Center Point Pkwy, Suite A, Birmingham, AL 35215-6347 | 2006-08-03 |
| 1477572741 | Michael Aaron Keller | Dentist | 2045 Brookwood Medical Ctr Dr, Suite 5-7, Birmingham, AL 35209-6874 | 2006-07-18 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35205 |
Please comment or provide details below to improve the information on BIRMINGHAM PEDIATRIC DENTAL CARE ASSOCIATES.
| 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.