DENTAL ASSOCIATES OF ATHENS, LLC (NPI# 1386917631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386917631 |
| Entity Type | Organization |
| Organization Name | DENTAL ASSOCIATES OF ATHENS, LLC |
| Practice Address |
1005 W Market St Athens AL 35611-2454 |
| Practice Telephone | 2562321404 |
| Practice Fax Number | 2562306738 |
| Mailing Telephone | 2562321404 |
| Mailing Fax Number | 2562306738 |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2012-02-17 |
| Authorized Official Name | MRS. TERRI WRENN (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Telephone | 2563535600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5540 | AL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS AL | 515-43170 | 01 |
| Street Address |
1005 W MARKET ST |
| City | ATHENS |
| State | AL |
| Zip Code | 35611-2454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881687226 | Roberta Ress | Advanced Practice Midwife | 1005 W Market St, Ste 9, Athens, AL 35611-2454 | 2005-08-30 |
| 1699163014 | Amanda Qualls | Nurse Practitioner | 1005 W Market St, Athens, AL 35611-2454 | 2015-01-07 |
| 1336559012 | Alysha Walker | Advanced Practice Midwife | 1005 W Market St, Ste 17, Athens, AL 35611-2454 | 2014-05-02 |
| 1770845513 | Limestone Internal Medicine Center | Internal Medicine | 1005 W Market St, 7, Athens, AL 35611-2454 | 2012-06-07 |
| 1740581685 | Amy Lindsay Carlota | Nurse Practitioner | 1005 W Market St, Ste 17, Athens, AL 35611-2454 | 2010-11-09 |
| 1629395082 | Joyce Pfeifer Goetsch | Internal Medicine | 1005 W Market St, Ste B, Athens, AL 35611-2454 | 2010-04-26 |
| 1831424761 | Laura Stewart | Nurse Practitioner | 1005 W Market St, Suite 7, Athens, AL 35611-2454 | 2009-10-09 |
| 1306045547 | Jeremiah Lance Harris | Dentist | 1005 W Market St, Suite 3, Athens, AL 35611-2454 | 2007-07-17 |
| 1700089893 | Samantha Clark Ross | Family Medicine | 1005 W Market St, Suite 7, Athens, AL 35611-2454 | 2007-06-07 |
| 1265643779 | Sam F Frankel | Specialist | 1005 W Market St, Ste 8, Athens, AL 35611-2454 | 2007-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023529 | Aderholt Medical, LLC | Family Medicine | 320 Old Us-31 N, Athens, AL 35611 | 2020-11-03 |
| 1295333409 | Olivia Palmer | Nurse Practitioner | 770 W Market St, Athens, AL 35611 | 2020-10-12 |
| 1104467901 | Michael S Layman | Hearing Instrument Specialist | 809 Hwy 72 W., Steg, Suite G, Athens, AL 35611 | 2019-10-02 |
| 1508425901 | Courtney Rae Ringrose | Dentist | 1323 Us Highway 72 E, Athens, AL 35611 | 2019-06-10 |
| 1225585391 | Advantage Health Solutions,llc | Family Medicine | 707 West Market St Ste A, Athens, AL 35611 | 2016-09-07 |
| 1306293618 | Brady Aderholt | Nurse Practitioner | 411 N Houston St, Athens, AL 35611 | 2016-05-17 |
| 1891154647 | Hh Health System - Retail Pharmacy LLC | Pharmacy | 700 W. Market Street, Suite 100, Athens, AL 35611 | 2016-02-22 |
| 1790188779 | U Save Pharmacies LLC | Pharmacy | 1285 Hwy 72 E, Athens, AL 35611 | 2014-10-03 |
| 1497176564 | Hometown Pharmacy of Limestone County, LLC | Pharmacy | 100 Highway 31, Suite H, Athens, AL 35611 | 2013-12-17 |
| 1760819015 | William Todd Waggoner | Pharmacist | 104 Highway 31 North, Athens, AL 35611 | 2013-10-02 |
| Find all providers in zip 35611 | ||||
| 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 |
|---|---|---|---|---|
| 1508425901 | Courtney Rae Ringrose | Dentist | 1323 Us Highway 72 E, Athens, AL 35611 | 2019-06-10 |
| 1821583782 | Tyler Keith Lipham | Dentist | 1805 Epps Bridge Pkwy Ste 101, Athens, GA 30606-6145 | 2018-06-24 |
| 1619460284 | Grant Talbert | Dentist | 105 Hine St S, Athens, AL 35611-2323 | 2018-06-08 |
| 1225393465 | Alabama Dental Professionals PC | Dentist | 220 D French Farms Blvd, Suite D, Athens, AL 35611 | 2012-07-12 |
| 1578858403 | Bradley Kyle Stewart | Dentist | 501 Decatur Pike, Athens, TN 37303-2513 | 2011-06-20 |
| 1083917850 | Complete Dental Center Athens | Dentist | 607 E Hobbs St, Athens, AL 35611-2150 | 2010-12-16 |
| 1013249242 | Alabama Dental Professionals, PC | Dentist | 110 College St., Suite D, Athens, AL 35611 | 2010-02-14 |
| 1033448055 | Thomas H Stillwell | Dentist | 899 Congress Pkwy N, Athens, TN 37303-1659 | 2009-12-22 |
| 1124258470 | Thomas Adam Cole | Dentist | 22051 Us Highway 72, Suite F, Athens, AL 35613-2664 | 2009-07-21 |
| 1851527550 | Jordan Risinger | Dentist | 800 S. Palestine St., Athens, TX 75751 | 2009-06-08 |
| Find all providers in ATHENS | ||||
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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.