TRUSSVILLE PEDIATRIC DENTISTRY (NPI# 1801077334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801077334 |
| Entity Type | Organization |
| Organization Name | TRUSSVILLE PEDIATRIC DENTISTRY |
| Practice Address |
123 N Chalkville Rd Ste 1 Trussville AL 35173-1376 |
| Practice Telephone | 2056551000 |
| Practice Fax Number | 2056557196 |
| Mailing Telephone | 2056551000 |
| Mailing Fax Number | 2056557196 |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2009-11-19 |
| Authorized Official Name | DR. THOMAS G WILLINGHAM (OWNER) |
| Authorized Official Telephone | 2056551000 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
5379 | AL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 559929290 | 05 |
| Street Address |
123 N CHALKVILLE RD STE 1 |
| City | TRUSSVILLE |
| State | AL |
| Zip Code | 35173-1376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891725644 | Thomas G. Willingham Jr. | Dentist | 123 N Chalkville Rd, Suite 1, Trussville, AL 35173-2821 | 2006-07-04 |
| 1326232364 | Pediatric Dentistry East, LLC | Dentist | 123 N Chalkville Rd, Trussville, AL 35173-1376 | 2007-09-04 |
| 1629296082 | Thomas Gerald Walker | Dentist | 123 N Chalkville Rd, Suite # 2, Trussville, AL 35173-1376 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982189262 | Walden Brook Schlundt-capps | Nurse Practitioner | 4913 Dearfoot Parkway, Trussville, AL 35173 | 2018-10-02 |
| 1770064321 | Joyce Yerman Coyle | Pharmacist | 5940 Trussville Crossings Pkwy, Birmingham, AL 35173 | 2018-08-22 |
| 1467931949 | Kelly M Bonnett | Nurse Practitioner | 117 N Chalkville Rd, Trussville, AL 35173 | 2018-08-07 |
| 1770028821 | Angelle Sieg Taylor | Counselor | 3504 Vann Road Suite 100, Trussville, AL 35173 | 2016-12-28 |
| 1467722694 | Laura Sherrill Barksdale | Nurse Anesthetist, Certified Registered | 300 Bradford Cir, Trussville, AL 35173 | 2012-01-04 |
| 1245551878 | Scott C Boyken | Family Medicine | 7201 Happy Hollow Road, Suite 101, Trussville, AL 35173 | 2010-06-17 |
| 1740503234 | Lauren C Sineath | Nutritionist | 5257 Stockton Pass, Trussville, AL 35173 | 2010-03-11 |
| 1386861128 | Michael Lawrence Ryan | Specialist/Technologist | 2053 Enclave Drive, Trussville, AL 35173 | 2007-04-20 |
| 1346372794 | Brett Stanley Bruce | Dentist | 6995 Gadsden Hwy, Trussville, AL 35173 | 2007-03-12 |
| 1528100682 | Michael J Sabatini | Pharmacist | 6404 Whitetail Lane, Birmingham, AL 35173 | 2007-02-13 |
| Find all providers in zip 35173 | ||||
| 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 |
|---|---|---|---|---|
| 1891725644 | Thomas G. Willingham Jr. | Dentist | 123 N Chalkville Rd, Suite 1, Trussville, AL 35173-2821 | 2006-07-04 |
| 1326232364 | Pediatric Dentistry East, LLC | Dentist | 123 N Chalkville Rd, Trussville, AL 35173-1376 | 2007-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801423280 | Otm Pediatric Dentistry, LLC | Dentist | 521 Highway 31 S Ste 125, Vestavia Hills, AL 35216-1877 | 2020-03-25 |
| 1629602529 | Summit Smiles Pediatric Dentistry, LLC | Dentist | 3106 James Madison Dr E, Mobile, AL 36693-4060 | 2020-02-28 |
| 1316453210 | Liberty Park Children's Dentistry | Dentist | 1950 Stonegate Dr Ste 100, Vestavia Hls, AL 35242-2525 | 2017-12-14 |
| 1578091815 | Bush Pediatric Dentistry | Dentist | 4740 Woodmere Blvd, Montgomery, AL 36106-3065 | 2017-05-31 |
| 1225415771 | Oxford Pediatric Dental Associates LLC | Dentist | 1409 Hamric Dr E, Oxford, AL 36203-1933 | 2015-05-05 |
| 1013304310 | Sarrell Regional Dental Center for Public Health, Inc. | Dentist | 805 N Mckenzie St, Suite C, Foley, AL 36535-3544 | 2015-04-24 |
| 1962813188 | Shelby Pediatric Dentistry, PC | Dentist | 2490 Pelham Parkway, Pelham, AL 35124 | 2014-05-09 |
| 1447681861 | Mobile Pediatric Dentistry | Dentist | 1105 Hillcrest Rd Ste B, Mobile, AL 36695-3921 | 2013-12-11 |
| 1659635712 | Natasha Varma | Dentist | 9807 Mcsara Ct, Spanish Fort, AL 36527-5461 | 2012-07-03 |
| 1407133978 | Sarrell Regional Dental Center for Public Health Inc. | Dentist | 1572 Mill Sq, Alexander City, AL 35010-3367 | 2011-11-10 |
| Find all providers with the same taxonomy | ||||
| City | TRUSSVILLE |
| Zip Code | 35173 |
Please comment or provide details below to improve the information on TRUSSVILLE PEDIATRIC DENTISTRY.
| 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.