WILLOW DENTAL (NPI# 1851936942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851936942 |
| Entity Type | Organization |
| Organization Name | WILLOW DENTAL |
| Practice Address |
1367 Highway 72 Killen AL 35645-9136 |
| Mailing Address |
515 County Road 402 Killen AL 35645-5815 |
| Practice Telephone | 2567575313 |
| Mailing Telephone | 2568103955 |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |
| Authorized Official Name | STACEY L EVANS (MANAGER) |
| Authorized Official Telephone | 2568103955 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | NPI | 1003969312 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WILLOW DENTAL | 23375 W Beluga Ave # B, Willow, AK 99688 |
| Street Address |
1367 HIGHWAY 72 |
| City | KILLEN |
| State | AL |
| Zip Code | 35645-9136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770030843 | Advantage Health Solutions,llc | Family Medicine | 6492 Hwy 72, Killen, AL 35645 | 2016-09-07 |
| 1871713032 | Obrien Orthopedic PC | Orthopaedic Surgery | 6490 Highway 72, Athens, AL 35645 | 2007-04-27 |
| 1376656793 | W Barry Wood | Pharmacist | 1621 Hwy 72, Killen, AL 35645 | 2006-08-17 |
| 1811975881 | Misty White Robertson | Nurse Practitioner | 351 Highway 64, Killen, AL 35645 | 2006-01-09 |
| 1467443424 | David Alan Hollis | Family Medicine | 148 J C Mauldin Highway, Killen, AL 35645 | 2005-10-31 |
| 1093717696 | Steve E Wampler | Emergency Medicine | 351 Hwy 64, Killen, AL 35645 | 2005-08-12 |
| 1942408877 | Meares Family Chiropractic, Inc | Chiropractor | 5750 Highway 72 East, Killen, AL 35645 | 2007-07-03 |
| 1639234982 | Greenhill Family Clinic, LLC | Clinic/Center | 351 Highway 64, Killen, AL 35645 | 2006-12-27 |
| 1841203155 | Elizabeth Nelson Plott | Pharmacist | 1161 Highway 72, Killen, AL 35645 | 2006-08-15 |
| 1295782696 | Alton Paul Reed | Emergency Medicine | 9173 Turtle Point Dr, Killen, AL 35645-2853 | 2006-05-30 |
| Find all providers in zip 35645 | ||||
| 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 |
|---|---|---|---|---|
| 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.