TRAMMELL PERIODONTICS LLC (NPI# 1770902850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770902850 |
Entity Type | Organization |
Organization Name | TRAMMELL PERIODONTICS LLC |
Practice Address |
1554 E Trinity Blvd Montgomery AL 36106-3609 |
Practice Telephone | 3342772100 |
Mailing Telephone | 3342772100 |
Enumeration Date | 2014-04-15 |
Last Update Date | 2014-04-15 |
Authorized Official Name | DR. KYLE HUGH TRAMMELL (SOLE MEMBER) |
Authorized Official Telephone | 3342772100 |
Authorized Official Credential | D.M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
5863 | AL | Ambulatory Health Care Facilities |
Street Address |
1554 E TRINITY BLVD |
City | MONTGOMERY |
State | AL |
Zip Code | 36106-3609 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932195674 | Stephen Stratford Phelan | Dentist | 1554 E Trinity Blvd, Montgomery, AL 36106-3609 | 2005-09-27 |
1720411143 | Dr Stephen S Phelan Dmd Pa | Dentist | 1554 E Trinity Blvd, Montgomery, AL 36106-3609 | 2013-08-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
Find all providers in zip 36106 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962009373 | Woodforest Dental Loft | Clinic/Center | 2300 Woodforest Pkwy N Ste 700, Montgomery, TX 77316-6503 | 2020-10-08 |
1881225829 | Bell Road Dentistry LLC | Clinic/Center | 2642 Bell Rd, Montgomery, AL 36117-4375 | 2020-01-29 |
1699316471 | Montgomery Aids Outreach, Inc. | Clinic/Center | 3052 Mcgehee Rd, Montgomery, AL 36111-2203 | 2019-10-03 |
1356801195 | Woodforest Fine Dentistry | Clinic/Center | 791 Fish Creek Thoroughfare Ste 40, Montgomery, TX 77316 | 2019-03-20 |
1356851323 | Dental Concepts, LLC | Clinic/Center | 4146 Carmichael Rd Ste A, Montgomery, AL 36106-3634 | 2017-10-04 |
1285016154 | Bradley W. Willis | Clinic/Center | 8161 Seaton Pl Ste A, Montgomery, AL 36116-7205 | 2015-06-26 |
1013531532 | Jrl, Dmd, LLC | Clinic/Center | 6905 Atlanta Hwy, Montgomery, AL 36117-4213 | 2020-06-01 |
1831656347 | Dale Entrekin Dmd PC | Clinic/Center | 7022 Vaughn Rd, Montgomery, AL 36116-1370 | 2019-02-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871192476 | Jacob L Turner Dmd PC | Clinic/Center | 100 A Andrew Street, Albertville, AL 35950 | 2020-10-23 |
1538775150 | Grants Mill Family Dentistry, LLC | Clinic/Center | 1024 Grants Mill Rd, Irondale, AL 35210-2108 | 2020-09-18 |
1164035341 | William M Colburn Dmd PC | Clinic/Center | 2810 20th Ave Ste A, Northport, AL 35476-3835 | 2020-08-26 |
1689295339 | Liles Family Dentistry, LLC | Clinic/Center | 2234 Ogletree Village Ln, Auburn, AL 36830-2967 | 2020-05-05 |
1184251100 | Big Wave Dentistry LLC | Clinic/Center | 110 S Alston St, Foley, AL 36535-1912 | 2020-03-27 |
1952934226 | Red Mountain Pediatric Dentistry | Clinic/Center | 2836 Lakeshore Pkwy, Birmingham, AL 35211-5500 | 2020-02-14 |
1467085837 | Brooke Jordan Dds LLC | Clinic/Center | 101 Missionary Rdg Ste 101, Birmingham, AL 35242-5203 | 2020-02-13 |
1477199511 | Kentros Dental LLC | Clinic/Center | [email protected], 1973 Chandalar Drive, Pelham, AL 35124 | 2019-11-25 |
1609417195 | Rocket City Dental | Clinic/Center | 112 Lily Flagg Rd Sw Ste B, Huntsville, AL 35802-3040 | 2019-10-05 |
1174184915 | Luce Dental Inc. | Clinic/Center | 2025 West 1st St, Gulf Shores, AL 36542 | 2019-06-24 |
Find all providers with the same taxonomy |
City | MONTGOMERY |
Zip Code | 36106 |
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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.