OTM PEDIATRIC DENTISTRY, LLC (NPI# 1801423280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801423280 |
| Entity Type | Organization |
| Organization Name | OTM PEDIATRIC DENTISTRY, LLC |
| Practice Address |
521 Highway 31 S Ste 125 Vestavia Hills AL 35216-1877 |
| Mailing Address |
2401 Dolly Ridge Rd Vestavia AL 35243-4609 |
| Practice Telephone | 2058224284 |
| Practice Fax Number | 2058224285 |
| Mailing Telephone | 2059838980 |
| Mailing Fax Number | 2059838982 |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-03-25 |
| Authorized Official Name | DR. FLYNT GILBERT PURVIS (PRESIDENT) |
| Authorized Official Telephone | 2059838980 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
521 HIGHWAY 31 S STE 125 |
| City | VESTAVIA HILLS |
| State | AL |
| Zip Code | 35216-1877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809843 | Jessica N Dieken | Counselor | 2659 Rocky Ridge Lane, Birmingham, AL 35216 | 2020-10-21 |
| 1013540376 | My Psychiatry Clinic, LLC | Psychiatry & Neurology | 2021 Shady Crest Dr. Suite 100, Hoover, AL 35216 | 2020-02-14 |
| 1811534928 | Tina Marie Sumpter | Counselor | 1776 Independence Court, Suite #103, Vestavia, AL 35216 | 2019-12-09 |
| 1013564285 | Octavia Elisa Bruce | Specialist | 808 Green Springs Hwy, Suite 124 Studio 4, Homewood, AL 35216 | 2019-08-22 |
| 1831657741 | Karen A. Genas | Counselor | 3812 Rime Village Dr., Hoover, AL 35216 | 2019-03-10 |
| 1538624564 | Stewart Counseling, LLC | Community/Behavioral Health | 2231 Victory Lane, Suite 500, Hoover, AL 35216 | 2019-02-04 |
| 1699239509 | Heartsease Counseling Services LLC | Clinic/Center | 2231 Victory Ln., Suite 500, Hoover, AL 35216 | 2019-01-24 |
| 1205304276 | Jocelyn Stewart | Counselor | 2231 Victory Lane, Suite 500, Hoover, AL 35216 | 2018-11-08 |
| 1154835775 | Robert B. Connor Dmd, PC | Dentist | 1771 Independence Ct., Suite 1, Birmingham, AL 35216 | 2017-11-17 |
| 1093262594 | Jaime Pears | Speech-Language Pathologist | 3057 Lorna Road, Suite 220, Birmingham, AL 35216 | 2016-09-01 |
| Find all providers in zip 35216 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1417240482 | Sarrell Regional Dental Center for Public Health, Inc. | Dentist | 1013 Medical Center Pkwy Ste 103, Selma, AL 36701-6742 | 2011-05-24 |
| Find all providers with the same taxonomy | ||||
| City | VESTAVIA HILLS |
| Zip Code | 35216 |
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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.