PROACT DENTAL, INC. (NPI# 1497837553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497837553 |
| Entity Type | Organization |
| Organization Name | PROACT DENTAL, INC. |
| Other Organization Name | SMILES FOR KEEPS |
| Practice Address |
5528 1st Ave N Birmingham AL 35212-2445 |
| Practice Telephone | 2055922255 |
| Practice Fax Number | 2055923352 |
| Mailing Telephone | 2055922255 |
| Mailing Fax Number | 2055923352 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-09-10 |
| Authorized Official Name | DR. JOHN ROGER SMITH (PRESIDENT) |
| Authorized Official Telephone | 2055922255 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
AL | Dental Providers |
| Other Name | Type Code |
|---|---|
| Smiles for Keeps | Doing Business As Name - Organization |
| Street Address |
5528 1ST AVE N |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35212-2445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659720415 | Thomas Brent Church | Dentist | 5528 1st Ave N, Birmingham, AL 35212-2445 | 2016-06-11 |
| 1871802678 | Kyle Reed | Dentist | 5528 1st Ave N, Birmingham, AL 35212-2445 | 2010-09-28 |
| 1336271550 | Wesley B Moffett | Dentist | 5528 1st Ave N, Birmingham, AL 35212-2445 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992200448 | Ford's Family Dentistry | Dentist | 6 61st Street North, Birmingham, AL 35212 | 2018-03-27 |
| 1821347766 | Belynda Jo Adams | Nurse Practitioner | 6869 Fifth Avenue South, Hillcrest Behavioral Health Services, Birmingham, AL 35212 | 2012-09-06 |
| 1487914198 | Elaine Frances Sides | Dentist | 5720 First Avenue South, Birmingham, Birmingham, AL 35212 | 2012-05-29 |
| 1043460835 | Crossroads To Intervention, Inc | Community/Behavioral Health | 5601 1st Avenue North, Suite 107, Birmingham, AL 35212 | 2008-09-29 |
| 1265603823 | Benjamin D. Williams Dmd Pa | Dentist | 100 57th St So, Birmingham, AL 35212 | 2008-03-21 |
| 1972989770 | Jordan Wulz | Pharmacist | 5720 1st Ave S, Birmingham, AL 35212 | 2015-08-04 |
| 1770907941 | Ryan Richmond | General Practice | 6000 West Highway 98, Pensacola, FL 35212 | 2014-02-09 |
| 1447287800 | Hc Partnership | Psychiatric Residential Treatment Facility | 6869 5th Avenue South, Birmingham, AL 35212 | 2006-06-28 |
| 1265621809 | Shannon Maureen Hartley | Psychologist | 6869 5th Ave South, Birmingham, AL 35212-1866 | 2007-10-19 |
| 1891800330 | Delicia D Harvey | Counselor | 6869 5th Ave S, Birmingham, AL 35212-1866 | 2006-08-21 |
| Find all providers in zip 35212 | ||||
| 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 |
|---|---|---|---|---|
| 1134739246 | Alabama Dental Professionals, P.C. | Dentist | 1200 20th St S Ste 202, Birmingham, AL 35205-3859 | 2020-08-04 |
| 1396361341 | Noopur Shah | Dentist | 727 Stoneriver Dr, Birmingham, AL 35211-4560 | 2020-06-24 |
| 1396366134 | Daniel Arthur Petersen | Dentist | 3350 Altamont Rd S Apt B12, Birmingham, AL 35205-2192 | 2020-05-04 |
| 1437790722 | Heath Bryan Coleman, Dds of Alabama, LLC | Dentist | 5024 Pinnacle Sq Ste 116, Birmingham, AL 35235-3176 | 2019-10-08 |
| 1295393106 | Ac Dentistry | Dentist | 7350 Cahaba Valley Rd Ste 106, Birmingham, AL 35242-6318 | 2019-06-05 |
| 1356818462 | Sergio Daniel Loubriel | Dentist | 1908 Springfield Loop W, Birmingham, AL 35242-5130 | 2018-10-26 |
| 1528577129 | Genesis Dental Group Homewood P.C. | Dentist | 2045 Brookwood Medical Ctr Dr Ste 4, Birmingham, AL 35209-6809 | 2017-09-26 |
| 1124565676 | Dentistry for Awesome Kids | Dentist | 623 8th Ave W, Birmingham, AL 35204-3604 | 2017-01-23 |
| 1306291711 | Melissa Santos Perez | Dentist | 1820 Gadsden Hwy Ste 112, Birmingham, AL 35235 | 2016-05-04 |
| 1326434671 | M. Austin Boyd Dmd PC | Dentist | 5891 Valley Rd, Birmingham, AL 35235-8693 | 2015-04-14 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35212 |
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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.