ALABAMA DENTAL SPECIALIST LLC (NPI# 1619599297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619599297 |
| Entity Type | Organization |
| Organization Name | ALABAMA DENTAL SPECIALIST LLC |
| Practice Address |
4501 Southlake Pkwy Ste 201 Hoover AL 35244-3644 |
| Mailing Address |
5751 Pocahontas Rd Bessemer AL 35022-5476 |
| Practice Telephone | 2058223222 |
| Mailing Telephone | 2054774242 |
| Mailing Fax Number | 2054774243 |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2020-05-18 |
| Authorized Official Name | CHRISTIE KNIGHT (REVENUE CYCLE DIRECTOR) |
| Authorized Official Telephone | 2054774242 |
| Is Organization Subpart | Y |
| Parent Organization Name | SMART DENTAL HOLDINGS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Spectra Dental Specialists | Doing Business As Name - Organization |
| Street Address |
4501 SOUTHLAKE PKWY STE 201 |
| City | HOOVER |
| State | AL |
| Zip Code | 35244-3644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691991 | Husam Jebril | Pharmacist | 5445 Park Side Road, Hoover, AL 35244 | 2020-08-27 |
| 1588272546 | Tyana Thomas | Behavior Technician | 1820 Southpark Dr, Hoover, Al 35244, Hoover, AL 35244 | 2020-07-16 |
| 1912520115 | Magic City Physical Therapy | Home Health | 1217 Willow Leaf Circle, Birmingham, AL 35244 | 2020-05-21 |
| 1851941660 | Carehere LLC | Family Medicine | Carehere Clinic- Mercedes Hoover, 130 Riverchase Parkway East, Hoover, AL 35244 | 2019-09-13 |
| 1033690888 | Danielle Waldrep Rich | Speech-Language Pathologist | 605 Russet Lake Drive, Hoover, AL 35244 | 2018-08-28 |
| 1699253559 | Lauren M Martinez | Social Worker | 2524 Valleydale Rd. Suite 100, Birmingham, AL 35244 | 2018-08-02 |
| 1982110284 | Regenerative Medical Institute for Pain & Neuropathy, LLC | Plastic Surgery | 1849 Data Dr Ste 1, Hoover, AL 35244 | 2017-12-21 |
| 1891217014 | Kristen Michelle Woods | Counselor | 3825 Lorna Rd Ste 240, Birmingham, AL 35244 | 2017-07-10 |
| 1255868170 | Home Sweet Home Senior Care | Home Health | 1 Chase Corporate Drive, Suite 400, Birmingham, AL 35244 | 2017-05-23 |
| 1801347455 | Megan Sarah St John | Nurse Practitioner | 2321 Alabama Highway 150, Birmingham, AL 35244 | 2016-10-19 |
| Find all providers in zip 35244 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508489709 | Kevin M. Sims, Dmd, Ms, PC | Dentist | 2074 Valleydale Rd, Hoover, AL 35244-2084 | 2020-05-21 |
| 1609115344 | Richard N Vest | Dentist | 1310 Alford Ave, Hoover, AL 35226-3199 | 2013-01-31 |
| 1801150115 | Elizabeth Ann Kivus | Dentist | 1310 Alford Ave, Hoover, AL 35226-3199 | 2012-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467964544 | Jamie Hargett Howard | Dentist | 418 School of Dentistry Building, 1919 7th Ave S, Birmingham, AL 35233 | 2017-10-30 |
| 1770028532 | George Britt | Dentist | 5104 Cyrus Cir, Birmingham, AL 35242-4630 | 2017-01-03 |
| 1407043797 | Jack Holmes Reid Jr. | Dentist | 911 Plantation Blvd, Fairhope, AL 36532-2949 | 2007-10-01 |
| 1568660231 | Scott Edmund Atkinson | Dentist | 621 Helen Keller Blvd Ste 200, Tuscaloosa, AL 35404-2962 | 2007-07-04 |
| 1396947818 | Maria L Geisinger | Dentist | 121 Peachtree Rd, Birmingham, AL 35213-2930 | 2007-06-05 |
| 1790812030 | John M. Lane | Dentist | 1912 Bruin Dr, Florence, AL 35630-6769 | 2007-02-27 |
| 1134280712 | Brett Maddux | Dentist | 3240 Edwards Lake Pkwy Ste 200, Birmingham, AL 35235-3128 | 2006-12-13 |
| 1154489409 | George N Britt Dmd Pa | Dentist | 5104 Cyrus Circle, Birmingham, AL 35242 | 2006-12-05 |
| 1316005267 | Kent Gilmore Palcanis | Dentist | 1919 7th Ave S Sdb Box 58 1, Birmingham, AL 35294 | 2006-12-04 |
| 1962576413 | James E Roberts | Dentist | 2301 Arlington Ave S, Suite 200, Birmingham, AL 35205-4180 | 2006-11-17 |
| 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.