DIAMOND DENTAL SOLUTIONS (NPI# 1669079943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669079943 |
| Entity Type | Organization |
| Organization Name | DIAMOND DENTAL SOLUTIONS |
| Practice Address |
542 Mcqueen Smith Rd N Prattville AL 36066-5558 |
| Practice Telephone | 3343584848 |
| Mailing Telephone | 3343584848 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | MATTHEW DAVID HOLLEY (PRESIDENT AND CEO) |
| Authorized Official Telephone | 3343584848 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Holley Dental Group | Doing Business As Name - Organization |
| Street Address |
542 MCQUEEN SMITH RD N |
| City | PRATTVILLE |
| State | AL |
| Zip Code | 36066-5558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053856591 | Camellia Hospice of South Alabama, LLC | Hospice Care, Community Based | 1807 Station Dr Ste B, Prattville, AL 36066 | 2016-12-19 |
| 1265805550 | Alabama Dental Professionals, PC | Dentist | 2489 Cobbs Ford Road, Prattville, AL 36066 | 2015-11-09 |
| 1407243645 | Drayer Physical Therapy-alabama, LLC | Physical Therapist | 2703 Legends Parkway, Prattville, AL 36066 | 2015-04-24 |
| 1225396203 | Kristin Taylor | Occupational Therapist | 635 Mcqueen Smith Road, Suite D, Prattville, AL 36066 | 2012-04-27 |
| 1164796959 | Glynwood Park Dental Care | Dentist | 1831 Glynwood Drive, Prattville, AL 36066 | 2012-02-27 |
| 1790068757 | Jason Duane Weaver | Physical Therapist | 1824 Glynwood Drive, Prattville, AL 36066 | 2011-09-26 |
| 1982931499 | Health Star Inc | Chiropractor | 2441 Cobbs Ford Road, Prattville, AL 36066 | 2009-11-05 |
| 1023101698 | Drs. Tatum and Walker, L.L.C. | Dentist | 597 South Memorial Drive, Prattville, AL 36066 | 2006-10-02 |
| 1730290693 | Shalini Goswami | Internal Medicine | 1294 E Main St, Prattville, AL 36066 | 2006-08-31 |
| 1407860380 | Robert Allen Avery | Internal Medicine | 645 Mcqueen Smith Rd N Ste 207, Prattville, AL 36066 | 2006-07-28 |
| Find all providers in zip 36066 | ||||
| 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 |
|---|---|---|---|---|
| 1700400652 | Brandon Craig Veach | Dentist | 1831 Glynwood Dr, Prattville, AL 36066-5584 | 2020-06-05 |
| 1629549811 | New Beginnings Dental LLC | Dentist | 2481 Pinnacle Way, Prattville, AL 36066-6543 | 2018-12-16 |
| 1265805550 | Alabama Dental Professionals, PC | Dentist | 2489 Cobbs Ford Road, Prattville, AL 36066 | 2015-11-09 |
| 1235471426 | Autauga Station Dental, P.C. | Dentist | 1803 Station Dr, Suite A, Prattville, AL 36066-5668 | 2013-03-26 |
| 1164796959 | Glynwood Park Dental Care | Dentist | 1831 Glynwood Drive, Prattville, AL 36066 | 2012-02-27 |
| 1609183979 | Robert Nathan Fife Jr. | Dentist | 1783 E Main St, Prattville, AL 36066-5562 | 2010-09-08 |
| 1548433329 | Kim P. Kornegay, Dmd | Dentist | 711 Kornegay Dr, Suite A, Prattville, AL 36066-7715 | 2008-04-11 |
| 1255501458 | Edwin R. Mullins | Dentist | 268 1st St., Prattville, AL 36067 | 2008-03-04 |
| 1295945772 | Charles S Tatum | Dentist | 597 S Memorial Dr, Prattville, AL 36067-3630 | 2007-05-23 |
| 1558489245 | Paul Dewitt Ellzey | Dentist | 1101 E Main St, Prattville, AL 36066-5625 | 2007-03-27 |
| Find all providers in PRATTVILLE | ||||
| City | PRATTVILLE |
| Zip Code | 36066 |
Please comment or provide details below to improve the information on DIAMOND DENTAL SOLUTIONS.
| 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.