DALEVILLE DENTAL, LLC (NPI# 1760477251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760477251 |
| Entity Type | Organization |
| Organization Name | DALEVILLE DENTAL, LLC |
| Practice Address |
526 N Daleville Ave Daleville AL 36322-2000 |
| Practice Telephone | 3345984994 |
| Practice Fax Number | 3345984342 |
| Mailing Telephone | 3345984994 |
| Mailing Fax Number | 3345984342 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JAY MICHAEL WALTERS (OWNER) |
| Authorized Official Telephone | 3345984994 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4553 | AL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BC/BS | 51525448 | 01 |
| UCCI | 820510 | 01 |
| Street Address |
526 N DALEVILLE AVE |
| City | DALEVILLE |
| State | AL |
| Zip Code | 36322-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881782670 | Jay M Walters Sr. | Dentist | 526 N Daleville Ave, Daleville, AL 36322-2000 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801428123 | Enlighten Behavioral Consultation, LLC | Behavior Technician | 305 Riverview Ct, Daleville, AL 36322 | 2020-02-05 |
| 1093276388 | Angela Kim Sweet | Voluntary or Charitable | 301 Anderson Road, Dalevill, AL 36322 | 2019-03-28 |
| 1033654553 | Kathryn Davis | Assistant Behavior Analyst | 807 Donnell Blvd, Suite Q, Daleville, AL 36322 | 2016-12-20 |
| 1770707424 | Shelley C Wiggins | Pharmacist | 100 Blackhawk Drive, Daleville, AL 36322 | 2007-04-12 |
| 1962470716 | Daleville Volunteer Rescue Squad | Ambulance | 730 S Daleville Ave, Daleville, AL 36322 | 2006-03-09 |
| 1235635889 | Regan Enfinger | Behavioral Analyst | 807 Donnell Blvd, Daleville, AL 36322 | 2018-04-03 |
| 1841733664 | Focus Counseling and Training Center LLC | Community/Behavioral Health | 518 N Daleville Ave Ste 110, Daleville, AL 36322-2000 | 2016-11-28 |
| 1538280581 | Daleville City | Local Education Agency (LEA) | 626 N Daleville Ave, Daleville, AL 36322-2006 | 2007-04-03 |
| 1205919156 | Darlene Wise | Technician/Technologist | 221 N Daleville Ave, Daleville, AL 36322-2015 | 2006-10-23 |
| 1134782923 | Travera Elizabeth Walker | Registered Nurse | 807 Donnell Blvd Ste 2, Daleville, AL 36322-2104 | 2019-04-17 |
| Find all providers in zip 36322 | ||||
| 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 |
|---|---|---|---|---|
| 1245357060 | John E Mey | Dentist | 12110 W County Road 550 S, Daleville, IN 47334-9717 | 2007-03-25 |
| 1437285384 | Michael Padgett Adams | Dentist | 1314 Roanke Rd, Daleville, VA 24083 | 2007-02-26 |
| 1790302180 | Jonathon Logan Williams | Dentist | 175 Market Ridge Ln, Daleville, VA 24083-3260 | 2020-07-01 |
| 1275756660 | Lee Bennett Davis | Dentist | 12110 W County Road 550 S, Daleville, IN 47334-9717 | 2007-04-11 |
| 1881782670 | Jay M Walters Sr. | Dentist | 526 N Daleville Ave, Daleville, AL 36322-2000 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1669079943 | Diamond Dental Solutions | Dentist | 542 Mcqueen Smith Rd N, Prattville, AL 36066-5558 | 2020-10-08 |
| 1023615762 | Smart Dental Holdings LLC | Dentist | 4616 Montevallo Rd Ste 100, Irondale, AL 35210-3104 | 2020-10-06 |
| 1215548896 | Alexander Braden Plagenhoef | Dentist | 116 Watterson Pkwy, Trussville, AL 35173-2306 | 2020-08-16 |
| 1134739246 | Alabama Dental Professionals, P.C. | Dentist | 1200 20th St S Ste 202, Birmingham, AL 35205-3859 | 2020-08-04 |
| 1164030300 | Caleb Jeffery Hodges | Dentist | 16090 Us-72, Rogersville, AL 35652 | 2020-07-14 |
| 1346867389 | Smart Dental Holdings, LLC | Dentist | 925 Sharit Ave Ste 113, Gardendale, AL 35071-5001 | 2020-06-25 |
| 1396361341 | Noopur Shah | Dentist | 727 Stoneriver Dr, Birmingham, AL 35211-4560 | 2020-06-24 |
| 1336765650 | Lauren Brooke Cabaniss | Dentist | 22727 Al-25, Columbiana, AL 35051 | 2020-06-23 |
| 1144845264 | Elizabeth Anne Pickering | Dentist | 609 Golden Springs Rd, Anniston, AL 36207-6911 | 2020-06-15 |
| 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.