BEITEL PEDIATRIC DENTISTRY (NPI# 1821591561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821591561 |
| Entity Type | Organization |
| Organization Name | BEITEL PEDIATRIC DENTISTRY |
| Practice Address |
580 Airport Rd Sw Huntsville AL 35802-1309 |
| Practice Telephone | 2568835050 |
| Practice Fax Number | 2568833557 |
| Mailing Telephone | 2568835050 |
| Mailing Fax Number | 2568833557 |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |
| Authorized Official Name | ANGIE EDWARDS (INSURANCE COORDINATOR) |
| Authorized Official Telephone | 2568835050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
AL | Dental Providers |
| Street Address |
580 AIRPORT RD SW |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35802-1309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417999152 | Brian A Beitel | Dentist | 580 Airport Rd Sw, Huntsville, AL 35802-1309 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174187371 | Susan R. Bechert | Social Worker | Huntsville Psychotherapy and Counseling Services, 7540 S. Memorial Parkway, Suite W, Huntsville, AL 35802 | 2019-04-24 |
| 1932601416 | Crystal Gaskins | Nurse Practitioner | 700 Airport Road Suite D, Huntsville, AL 35802 | 2018-03-01 |
| 1073032736 | Emily Rachel Lapidus | Specialist/Technologist | 310 Devon Circle, Huntsville, AL 35802 | 2017-09-13 |
| 1467992727 | Thrive At Jones Farm | Assisted Living Facility | 2238 Cecil Ashburn Dr Se, Huntsville, AL 35802 | 2017-03-06 |
| 1922554641 | Acts Signature Community Services, Inc. | Internal Medicine | One Clubhouse Avenue, Huntsville, AL 35802 | 2016-09-01 |
| 1578018438 | Sarah Thompson | Marriage & Family Therapist | 116 Lily Flagg Rd Sw Ste D, Huntsville, AL 35802 | 2016-08-22 |
| 1124489166 | Nadine Wormsbacher | Massage Therapist | 919 Willowbrook Dr Suite D, Huntsville, AL 35802 | 2016-03-18 |
| 1962761486 | Alfred Lawrence Watson | Internal Medicine | 2112 Clubhouse Ave, Huntsville, AL 35802 | 2012-05-04 |
| 1992073449 | Susan Gosdin Weiler | Pharmacist | 2784 Carl T Jones Drive, Huntsville, AL 35802 | 2011-12-12 |
| 1518257823 | Bonnie Jo Ferguson | Pharmacist | 4096 Whitesburg Drive, Huntsville, AL 35802 | 2011-04-08 |
| Find all providers in zip 35802 | ||||
| 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 |
|---|---|---|---|---|
| 1346469244 | Whitney Owen Shelton | Dentist | 1105 Gleneagles Dr Sw, Huntsville, AL 35801-6405 | 2007-04-25 |
| 1730281692 | Michael David Brown | Dentist | 114 Bob Wallace Ave Sw, Huntsville, AL 35801-3823 | 2006-09-02 |
| 1417999152 | Brian A Beitel | Dentist | 580 Airport Rd Sw, Huntsville, AL 35802-1309 | 2006-06-10 |
| 1932151594 | Dean Corbly Brandon | Dentist | 4001 Balmoral Dr Sw, Huntsville, AL 35801-6403 | 2006-05-16 |
| 1578561924 | Casey Rene Frazier | Dentist | 100 Medical Center Pkwy, Suite #700, Huntsville, TX 77340 | 2005-07-11 |
| 1912021247 | Charles R Hall | Dentist | 1110 Meridian St N, Huntsville, AL 35801-4636 | 2007-03-19 |
| 1962526285 | Richard R Cannon | Dentist | 1110 Meridian St N, Huntsville, AL 35801-4636 | 2007-03-19 |
| 1851446595 | Alabama Pediatric Dental Associates and Orthodontics | Dentist | 4001 Balmoral Dr Sw, Huntsville, AL 35801-6403 | 2007-01-24 |
| 1710053376 | Brent Marc Masterson | Dentist | 4001 Balmoral Dr Sw, Huntsville, AL 35801-6403 | 2006-11-27 |
| 1467557199 | Todd L Lackey | Dentist | 4001 Balmoral Dr Sw, Huntsville, AL 35801-6403 | 2006-09-14 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35802 |
Please comment or provide details below to improve the information on BEITEL 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.