CYPRESS CREEK DENTAL, LLC (NPI# 1861731085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861731085 |
| Entity Type | Organization |
| Organization Name | CYPRESS CREEK DENTAL, LLC |
| Practice Address |
3500 Cloverdale Rd Florence AL 35633-1302 |
| Practice Telephone | 2567662606 |
| Practice Fax Number | 2567648502 |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2013-02-07 |
| Authorized Official Name | DR. TIA KENNEDY (OWNER) |
| Authorized Official Telephone | 2567662606 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5854 | AL | Dental Providers |
| Street Address |
3500 CLOVERDALE RD |
| City | FLORENCE |
| State | AL |
| Zip Code | 35633-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730252644 | Lang Theodore Harp | Dentist | 3500 Cloverdale Rd, Florence, AL 35633-1302 | 2006-11-16 |
| 1205484326 | Thrive Health Urgent Care, Inc. | Clinic/Center | 3500 Cloverdale Rd, Florence, AL 35633-1302 | 2019-09-02 |
| 1851789598 | Theresia Roach | Nurse Practitioner | 3500 Cloverdale Rd, Florence, AL 35633-1302 | 2015-01-05 |
| 1285931758 | James Wesley Hamilton Jr. | Nurse Practitioner | 3500 Cloverdale Rd, Florence, AL 35633 | 2011-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814224 | Bama Pool Construction, Inc. | Durable Medical Equipment & Medical Supplies | 3602 Cloverdale Road, Florence, AL 35633 | 2018-09-14 |
| 1356417927 | Leonard Hugh Vanhorn | Chiropractor | 501 Cr 279, Florence, AL 35633 | 2006-11-27 |
| 1962993691 | Alabama Chiropractic Spine & Joint Clinic | Chiropractor | 100 Pine Brook Dr, Florence, AL 35633 | 2018-05-29 |
| 1477040483 | Petersville Family Care, LLC | Family Medicine | 2929 Cloverdale Rd, Florence, AL 35633 | 2018-04-16 |
| 1780856781 | Inkyung Kim Santiago | Internal Medicine | 11348 Highway 20, Florence, AL 35633 | 2008-03-31 |
| 1972793263 | Central Family Clinic, Inc | Family Medicine | 11348 Highway 20, Florence, AL 35633 | 2007-08-01 |
| 1669913562 | Monica Page Irons | General Acute Care Hospital | 20075 County Road 14, Florence, AL 35633-0333 | 2017-03-13 |
| 1730573445 | Anthony R White | Occupational Therapy Assistant | 123 White Oak Ln, Florence, AL 35633-1015 | 2015-03-20 |
| 1316958036 | Connie M Arnold | Nurse Practitioner | 3909 Pasadena Ave, Florence, AL 35633-1132 | 2006-08-10 |
| 1184927568 | Bailey Russell Carroll | Chiropractor | 100 Pine Brook Dr, Florence, AL 35633-1137 | 2010-12-07 |
| Find all providers in zip 35633 | ||||
| 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 |
|---|---|---|---|---|
| 1336759802 | Dharaben Gajjar | Dentist | 718 Muirfield Pl, Florence, SC 29501-8718 | 2020-08-08 |
| 1720698566 | Travis Alcorn | Dentist | 2750 Kingwood St, Florence, OR 97439-9556 | 2020-08-06 |
| 1144875444 | Steven Mee | Dentist | 1225 Us - 101, Florence, OR 97439 | 2019-08-05 |
| 1902468283 | Austin Larkin Smith | Dentist | 7901 Mall Rd Ste 500, Florence, KY 41042-3419 | 2019-07-08 |
| 1750819397 | Allyson Paige Engle | Dentist | 7668 Mall Rd Unit B, Florence, KY 41042-1593 | 2017-05-26 |
| 1104225325 | Irby Street Dental Health Center, P.C. | Dentist | 943 S Irby St Unit A, Florence, SC 29501-5238 | 2014-08-14 |
| 1881012755 | Carlos Lavor Weekly | Dentist | 1305 East Butte, Florence, AZ 85132 | 2014-03-28 |
| 1972842805 | Saishree Amin | Dentist | 310 Cox Creek Pkwy, Florence, AL 35630-1540 | 2013-02-13 |
| 1588929848 | Patricia Jordan Fast | Dentist | 1507 Heritage Ln, Suite A, Florence, SC 29505-3141 | 2012-07-11 |
| 1053678516 | Florence Dental Clinic | Dentist | 2750 Kingwood, Florence, OR 97430 | 2012-04-20 |
| Find all providers in FLORENCE | ||||
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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.