CHILDREN AND TEEN DENTAL GROUP OF ALABAMA


Address: 221 Rice Mine Rd Ne, Tuscaloosa, AL 35406-2401
Phone: 2057583341

CHILDREN AND TEEN DENTAL GROUP OF ALABAMA (NPI# 1679931950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679931950
Entity Type Organization
Organization Name CHILDREN AND TEEN DENTAL GROUP OF ALABAMA
Practice Address 221 Rice Mine Rd Ne
Tuscaloosa
AL 35406-2401
Mailing Address 342 N Main St
Suite 200
Alpharetta
GA 30009-8376
Practice Telephone 2057583341
Mailing Telephone 7702315348
Enumeration Date 2016-02-02
Last Update Date 2016-02-02
Authorized Official Name BRIAN SMITH (CFO)
Authorized Official Telephone 7702315348
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
Dental Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1245709567 Children and Teen Dental Group of Alabama Dentist 3825 Lorna Rd Ste 260, Hoover, AL 35244-3005 2018-11-15
1508345828 Children and Teen Dental Group of Alabama Dentist 1324 Main St, Gardendale, AL 35071-2496 2018-08-08
1285160804 Children and Teen Dental Group of Alabama Dentist 1713 Hamric Dr E Ste C, Oxford, AL 36203 2017-05-02
1205295292 Children and Teen Dental Group of Alabama Dentist 1825 Mcfarland Blvd N, Ste 260, Tuscaloosa, AL 35406-2251 2016-02-18

Office Location

Street Address 221 RICE MINE RD NE
City TUSCALOOSA
State AL
Zip Code 35406-2401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861408627 Tyler Healthcare Inc Durable Medical Equipment & Medical Supplies 221 Rice Mine Rd Ne, Ste B, Tuscaloosa, AL 35406-2401 2006-08-01
1922138072 John Barry Burgess Dentist 221 Rice Mine Rd Ne, Suite A, Tuscaloosa, AL 35406-2401 2007-03-07
1255461315 Richard Allen Simpson Dentist 221 Rice Mine Rd Ne, Suite A, Tuscaloosa, AL 35406-2401 2007-03-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134757735 Susan Tingle Mills Counselor 1470 Northbank Parkway, Tuscaloosa, AL 35406 2020-03-30
1508416314 Carehere LLC Family Medicine Carehere Clinic-mercedes Tuscaloosa Health and Wellness, 971 Fairfax Park, Suite B, Tuskaloosa, AL 35406 2019-09-13
1093275364 Medfusions Nurse Anesthetist, Certified Registered 120 Rice Mine Road N, Tuscaloosa, AL 35406 2019-03-22
1891144259 Gregory Chad Green, Od, PC Optometrist 1490 Northbank Parkway, Suite 120, Tuscaloosa, AL 35406 2016-06-07
1164767083 First Care LLC Clinic/Center 1251 Mcfarland Blvd. Ne, Tuscaloosa, AL 35406 2012-12-04
1144520487 Ladonna Demetrice Snider Registered Nurse 825 Rice Mine Road No., Tuscaloosa, AL 35406 2010-11-02
1699923102 Nancy M. Tactuk Romanenko Internal Medicine 1015 Rice Valley Rd N, Tuscaloosa, AL 35406 2008-09-09
1912042433 Patrick Bruce Atkins Psychiatry & Neurology 1649 Mcfarland Boulevard North, Suite 201, Tuscaloosa, AL 35406 2007-02-21
1073663555 Mark Linden Prohaska Clinical Neuropsychologist 100 Rice Mine Road, Suite 303, Tuscaloosa, AL 35406 2007-01-10
1225197155 Jane Watkins Phd Counselor 150 Rice Mine Road, Suite B, Tuscalcosa, AL 35406 2006-12-06
Find all providers in zip 35406

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891972501 J Barry Burgess Dentist 1825 Mcfarland Blvd N Ste D, Tuscaloosa, AL 35406-2236 2008-01-24
1194800342 Karen Fox Clements Dentist 2415 Veterans Memorial Pkwy, Tuscaloosa, AL 35404-4137 2006-10-26
1235668815 Caroline Spruill Schoppert Dentist 2415 Veterans Memorial Pkwy, Tuscaloosa, AL 35404-4137 2017-06-07
1912456930 Capstone Kids LLC Dentist 204 Mcfarland Cir N, Tuscaloosa, AL 35406-1800 2016-10-03
1205295292 Children and Teen Dental Group of Alabama Dentist 1825 Mcfarland Blvd N, Ste 260, Tuscaloosa, AL 35406-2251 2016-02-18
1740551027 Sarrell Regional Dental Center for Public Health Inc. Dentist 1911 Skyland Blvd E, Suite A-3, Tuscaloosa, AL 35405-1541 2012-01-19
1588843635 Tuscaloosa Pediatric Dentistry, P.C. Dentist 2415 Veterans Memorial Pkwy, Tuscaloosa, AL 35404-4137 2007-10-25
1922138072 John Barry Burgess Dentist 221 Rice Mine Rd Ne, Suite A, Tuscaloosa, AL 35406-2401 2007-03-07
1255461315 Richard Allen Simpson Dentist 221 Rice Mine Rd Ne, Suite A, Tuscaloosa, AL 35406-2401 2007-03-07
1861548521 William Wesley Hollowell Dentist 2415 Veterans Memorial Pkwy, Tuscaloosa, AL 35404-4137 2007-01-26
Find all providers in TUSCALOOSA

Competitor

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City TUSCALOOSA
Zip Code 35406

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Dataset Information

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.

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