SARRELL REGIONAL DENTAL CENTER FOR PUBLIC HEALTH INC. (NPI# 1740551027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740551027 |
| Entity Type | Organization |
| Organization Name | SARRELL REGIONAL DENTAL CENTER FOR PUBLIC HEALTH INC. |
| Practice Address |
1911 Skyland Blvd E Suite A-3 Tuscaloosa AL 35405-1541 |
| Mailing Address |
230 E 10th St Ste 106 Anniston AL 36207-5784 |
| Practice Telephone | 2054690444 |
| Practice Fax Number | 2054690443 |
| Mailing Telephone | 2567417340 |
| Mailing Fax Number | 2567417373 |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2016-02-24 |
| Authorized Official Name | TODD CRUSE (PRESIDENT) |
| Authorized Official Telephone | 6299995006 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 136056 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407133978 | Sarrell Regional Dental Center for Public Health Inc. | Dentist | 1572 Mill Sq, Alexander City, AL 35010-3367 | 2011-11-10 |
| Street Address |
1911 SKYLAND BLVD E SUITE A-3 |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35405-1541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639167422 | Latricia E Curley | Dentist | 1911 Skyland Blvd E, Suite A-3, Tuscaloosa, AL 35405-1541 | 2005-10-06 |
| 1982978490 | Sarrell Regional Dental Center for Public Health, Inc | Optometrist | 1911 Skyland Blvd E, Suite A3, Tuscaloosa, AL 35405 | 2012-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010270 | Jane Ferguson | Specialist/Technologist | 3831 3rd Ave, Apt 31, Tuscaloosa, AL 35405 | 2020-10-12 |
| 1487252771 | Changing Seasons Therapy and Consulting, Pllc | Social Worker | 1105 Southview Lane Ste 103 #2, Tuscaloosa, AL 35405 | 2020-10-09 |
| 1528590874 | Susan B. Miles | Registered Nurse | 1400 James I. Harrison Jr. Parkway E., Suite 100, Tuscaloosa, AL 35405 | 2017-03-28 |
| 1881069474 | Dhl Mobile Healthcare LLC | Nurse Practitioner | 7700 Highway 69 S Ste B, Tuscaloosa, AL 35405 | 2015-12-08 |
| 1386056026 | Remona Peterson | Family Medicine | 6521 Highway 69 S Ste M, Tuscaloosa, AL 35405 | 2014-05-29 |
| 1184909475 | Walter Dewaine Brewer | Pharmacist | 8701 Hwy 69 South, Tuscaloosa, AL 35405 | 2011-10-18 |
| 1063702439 | Annette Marie Gibson | Nurse Practitioner | 819 Mimosa Park Road, Suite C, Tuscaloosa, AL 35405 | 2011-04-19 |
| 1790075588 | Jones Counseling and Therapeutic Services | Marriage & Family Therapist | 138-39th Street, Tuscaloosa, AL 35405 | 2011-04-13 |
| 1356513030 | Jennifer Kaye Williams | Licensed Practical Nurse | 5404 4th Ct East, Tuscaloosa, AL 35405 | 2008-04-02 |
| 1679772891 | Vijaya K Kommareddi | Internal Medicine | 3701 Loop Road Suite 210, Va Medical Center, Tuscaloosa, AL 35405 | 2007-07-17 |
| Find all providers in zip 35405 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| 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 |
| 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 |
| 1679931950 | Children and Teen Dental Group of Alabama | Dentist | 221 Rice Mine Rd Ne, Tuscaloosa, AL 35406-2401 | 2016-02-02 |
| 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 | ||||
| City | TUSCALOOSA |
| Zip Code | 35405 |
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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.